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SHELLY ANDERSON CRNA
NPI 1033397120
Nurse Anesthetist, Certified Registered in Los Angeles, CA

Active since January 31, 2008
97.29/100
CMS Quality Rating
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095(331) 026-7389(310) 267-3899 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shelly Anderson Crna NPPES

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

SHELLY ANDERSON CRNA (NPI 1033397120) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (3596) and active in the NPI registry since January 2008. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1033397120
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHELLY ANDERSONCredential: CRNA
Location Address757 WESTWOOD PLZ STE 3325Los Angeles, CA 90095-3075
Mailing AddressFile 4501Los Angeles, CA 90074-0001 · (503) 372-2740 · Fax (503) 372-2754
Phone(331) 026-7389
Fax(310) 267-3899
Sole ProprietorNo
Enumeration DateJanuary 31, 2008
Last NPPES UpdateJuly 12, 2019
✔ NPI 1033397120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 3596
Definition
(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.
757 WESTWOOD PLZ STE 3325, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Location 1

Location 110833 Le Conte AveLos Angeles, CA 90095-3075 · Phone (310) 825-9111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Anderson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Shelly Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Martin Luther King Jr Community Medical Foundation
15 mi
Multi-Specialty
12021 WILMINGTON AVE., BLDG. 11 SUITE 1000
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 554 clinicians in this Medicare group
NPI 1356899777 (424) 529-6755
Coquille Valley Hospital District
693 mi
Family Medicine
345 8TH ST
Myrtle Point, OR 97458
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1730223967 (Oregon)
  • 71 clinicians in this Medicare group
NPI 1659206704 (541) 824-0400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.72
Promoting Interoperability100
Improvement Activities40
Cost81.58

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.

MARIYA SVILIK MD
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8626
DR. BIJAN NAVIDI M.D.
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8626
DR. FREDERICK CONRAD LI M.D.
Anesthesiology (Pain Medicine)
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 794-4494
LEO LUAN LI MD
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
ANDREW THOMAS SCALES DO
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8626
DR. SO HEE LEE DNAP
Nurse Anesthetist, Certified Registered
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. SUNGSOO KIM MD, PHD
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8626
STEVE KWON
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8678

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 Shelly Anderson's NPI number?

The NPI number for Shelly Anderson is 1033397120. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is Shelly Anderson located?

Shelly Anderson practices at 757 Westwood Plz Ste 3325, Los Angeles, CA 90095. The listed phone number is (331) 026-7389.

What is Shelly Anderson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shelly Anderson enrolled in Medicare?

Yes. Shelly Anderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelly Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Anderson reassigns Medicare benefits to 2 organizations: Martin Luther King Jr Community Medical Foundation (Los Angeles, CA) and Coquille Valley Hospital District (Myrtle Point, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelly Anderson was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.