KIRK ROBERT SHELLEY JR. CRNA
NPI 1063986776
Nurse Anesthetist, Certified Registered in Savannah, GA
About Kirk Robert Shelley Jr. Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRK ROBERT SHELLEY JR. CRNA (NPI 1063986776) is an individual nurse anesthetist, certified registered in Savannah, Georgia, licensed in Georgia (RN282650) and active in the NPI registry since January 2019. He is affiliated with Beaufort County Memorial Hospital and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kirk Robert Shelley Jr. Crna 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.
Medicare Billing Reassignments
8Medicare enrollment records show Kirk Shelley reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 187 clinicians in this Medicare group
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 468 clinicians in this Medicare group
Savannah, GA 31405
- Reassigned Medicare billing, Georgia enrollment
- 18 clinicians in this Medicare group
Beaufort, SC 29902
- Reassigned Medicare billing, South Carolina enrollment
- 109 clinicians in this Medicare group
Vidalia, GA 30474
- Reassigned Medicare billing, Georgia enrollment
- 127 clinicians in this Medicare group
Stone Mountain, GA 30087
- Reassigned Medicare billing, Georgia enrollment
- 650 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 489 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaufort County Memorial Hospital
Acute Care Hospitals · Beaufort, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
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 Kirk Shelley's NPI number?
The NPI number for Kirk Shelley is 1063986776. It was assigned to this individual provider in the NPPES registry on January 15, 2019.
Where is Kirk Shelley located?
Kirk Shelley practices at 4700 Waters Ave, Savannah, GA 31404. The listed phone number is (912) 350-8000.
What is Kirk Shelley's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kirk Shelley enrolled in Medicare?
Yes. Kirk Shelley 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.
Which organizations bill Medicare for Kirk Shelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirk Shelley reassigns Medicare benefits to 8 organizations: Anesthesia Consultants Of Savannah, PC (Savannah, GA), Coastal Ambulatory Anesthesia LLC (Savannah, GA), Anesthesia Of Coastal Georgia LLC (Savannah, GA), Low Country Anesthesia, PA (Beaufort, SC), SE Georgia Anesthesia, LLC (Vidalia, GA) and 3 more organizations, listed in the Medicare section above. 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 Kirk Shelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kirk Shelley accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Kirk Shelley 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 Kirk Shelley affiliated with any hospitals?
According to CMS data, Kirk Shelley is affiliated with Beaufort County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kirk Shelley was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kirk Robert Shelley Jr., CRNA · NPI 1063986776
Nurse Anesthetist, Certified Registered physician in Savannah, Georgia. Individual provider, active in the CMS NPPES registry since January 15, 2019.
## Identity
- **NPI:** 1063986776 (Entity type: Individual)
- **Enumerated:** January 15, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN282650 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4700 WATERS AVE, Savannah, GA 31404-6220
- **Phone:** (912) 350-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Anesthesia Consultants Of Savannah, PC (NPI 1679774343, Savannah, GA); Coastal Ambulatory Anesthesia LLC (NPI 1750753786, Savannah, GA); Anesthesia Of Coastal Georgia LLC (NPI 1487921581, Savannah, GA); Low Country Anesthesia, PA (NPI 1417928268, Beaufort, SC); SE Georgia Anesthesia, LLC (NPI 1518542919, Vidalia, GA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063986776) · Data from the CMS NPPES public registry.