Shelley J Kudialis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Johnson City, TN

  1. Home
  2. Nurse Anesthetist - CR
  3. TN
  4. Johnson City
Shelley J Kudialis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Johnson City, Tennessee. She graduated from nursing school in 1994 and has 32 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Dynamics Llc, Crh Anesthesia Of Florida Llc, Srq Anesthesia Llc and her current practice location is 1114 Sunset Dr, Suite 4, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 283-0776.

Shelley J Kudialis is licensed to practice in Tennessee (license number RN0000158056) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265562144.

Contact Information

Shelley J Kudialis, CRNA
1114 Sunset Dr, Suite 4,
Johnson City, TN 37604-2969
(423) 283-0776
(423) 283-0549

Map and Direction




Provider's Profile

Full NameShelley J Kudialis
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience32 Years
Location1114 Sunset Dr, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelley J Kudialis graduated from nursing school in 1994
  NPI Data:
  • NPI Number: 1265562144
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 10/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7113027103
  • Enrollment ID: I20191125001443

Medical Identifiers

Medical identifiers for Shelley J Kudialis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265562144NPI-NPPES
PENDINGMedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN9387933 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered RN0000158056 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Dynamics Llc3779832530860
Crh Anesthesia Of Florida Llc993142054420
Srq Anesthesia Llc882057691120

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelley J Kudialis allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Associates Of Southwest Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881652899
PECOS PAC ID: 6901703982
Enrollment ID: O20031217000738
Entity NameJonathan M Frantz, Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033199609
PECOS PAC ID: 9234039140
Enrollment ID: O20040108001055
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameSt Lucie Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700044252
PECOS PAC ID: 4284792706
Enrollment ID: O20081027000765
Entity NameAmsurg Citrus Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255774212
PECOS PAC ID: 9436399854
Enrollment ID: O20130709000205
Entity NameAnesthesia Associates Of Ocala Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962808287
PECOS PAC ID: 1254657349
Enrollment ID: O20150309001113
Entity NameAms National Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316330830
PECOS PAC ID: 3870813025
Enrollment ID: O20150529000613
Entity NameAnesthesia Services Plus Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205230703
PECOS PAC ID: 8628380425
Enrollment ID: O20150708001291

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelley J Kudialis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelley J Kudialis, CRNA
230 Lake Ridge Dr,
Jonesborough, TN 37659-4798

Ph: (423) 438-0521		Shelley J Kudialis, CRNA
1114 Sunset Dr, Suite 4,
Johnson City, TN 37604-2969

Ph: (423) 283-0776

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Johnson City, TN

Shawn D Bright, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-283-0549
Lisa W Green, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Lark St, Suite 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-283-0549
Marcos D Demoura, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604
Phone: 423-794-3142    
Chasity A Huffman, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604
Phone: 423-283-0776    Fax: 423-968-5697
Mrs. Jewel B Welch, CRNAP
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1009 Novus Dr, Johnson City, TN 37604
Phone: 423-283-0776    
Johnny Lee Estep, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1009 Novus Dr, Johnson City, TN 37604
Phone: 423-282-0776    
Samuel V Davenport, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-6111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.