SHELBY FULLEN CAA
NPI 1023492816
Anesthesiologist Assistant in Columbus, OH

Active since July 13, 2015Accepts Medicare Assignment
410 W 10TH AVE FL 1, COLUMBUS, OH 43210(614) 293-8487(614) 293-8153 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby Fullen Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY FULLEN CAA (NPI 1023492816) is an individual anesthesiologist assistant in Columbus, Ohio, licensed in Ohio (67.000543) and active in the NPI registry since July 2015. She is affiliated with Ohio State University State Health System, maintains a secondary practice location in Washington, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023492816
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameSHELBY FULLENCredential: CAA
Location Address410 W 10TH AVE FL 1Columbus, OH 43210-1240
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8487
Fax(614) 293-8153
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 13, 2015
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1023492816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses Licensed in OH · 67.000543 Licensed in DC · AA000058
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
410 W 10TH AVE FL 1, Columbus, OH 43210

Secondary Practice Location 1

Location 1110 Irving St NWWashington, DC 20010-3017 · Phone (202) 877-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shelby Fullen Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446569461
PECOS Enrollment IDI20250506000399

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
410 W 10TH AVE FL 1
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE FL 1
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE FL 1
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE FL 1
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE FL 1
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE FL 1
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE FL 1
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE FL 1
COLUMBUS, OH 43210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Fullen's NPI number?

The NPI number for Shelby Fullen is 1023492816. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Shelby Fullen located?

Shelby Fullen practices at 410 W 10th Ave Fl 1, Columbus, OH 43210. The listed phone number is (614) 293-8487.

What is Shelby Fullen's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Shelby Fullen enrolled in Medicare?

Yes. Shelby Fullen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelby Fullen accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Shelby Fullen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelby Fullen affiliated with any hospitals?

According to CMS data, Shelby Fullen is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Shelby Fullen was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.