Individual provider

Kirk Shelley, CRNA

Certified Registered Nurse Anesthetist Registered Nurse Medicare enrolled

Kirk Shelley, CRNA is a Certified Registered Nurse Anesthetist in Savannah, GA, registered under NPI 1063986776. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4700 WATERS AVE, Savannah, GA 31404. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4700 WATERS AVE, Savannah, GA 31404 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN282650 GA Certified Registered Nurse Anesthetist primary
RN282650 GA Registered Nurse

This provider holds licence RN282650 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Certified Registered Nurse Anesthetist (crna)
PAC ID
3072852151

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Georgia I20190307001513 Practitioner - Certified Registered Nurse Anesthetist (crna)
South Carolina I20210311000903 Practitioner - Certified Registered Nurse Anesthetist (crna)

Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Registered Nurse Anesthetist (crna). There are 2 separate enrolment records across 2 states (GA, SC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Nurse Anesthetist, Certified Registered covers

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. NUCC Health Care Provider Taxonomy, code 367500000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
367500000X Certified Registered Nurse Anesthetist RN282650 GA primary
163W00000X Registered Nurse RN282650 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063986776 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 15, 2019
Last updatedFeb 15, 2022
StatusActive
Sole proprietorYes
CredentialCRNA
Practice address 4700 WATERS AVE
Savannah, GA 31404
(912) 350-8000
Mailing address 11 SETTLERS PT
Savannah, GA 31406
The last update on file is Feb 15, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063986776 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 9 8 6 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 9 8 3 7 5

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063986776?
NPI 1063986776 is the National Provider Identifier assigned to Kirk Shelley, CRNA in Savannah, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Certified Registered Nurse Anesthetist cover?
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care…
How do I contact Kirk Shelley, CRNA?
The phone number on file with NPPES is (912) 350-8000, last updated Feb 15, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kirk Shelley, CRNA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063986776 a valid number?
Yes. 1063986776 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.