SHELLEY J KUDIALIS CRNA
NPI 1265562144
Nurse Anesthetist, Certified Registered in Johnson City, TN

Q: What is Shelley Kudialis's NPI number?

The NPI number for Shelley Kudialis is 1265562144. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Shelley Kudialis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelley Kudialis was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 07, 2007Accepts Medicare Assignment

1114 SUNSET DR, SUITE 4, JOHNSON CITY, TN 37604(423) 283-0776(423) 283-0549 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Shelley J Kudialis Crna NPPES

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

SHELLEY J KUDIALIS CRNA (NPI 1265562144) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (RN0000158056) and active in the NPI registry since March 2007. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1265562144

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSHELLEY J KUDIALISCredential: CRNA

Location Address1114 SUNSET DR, SUITE 4Johnson City, TN 37604-2969

Mailing Address230 Lake Ridge DrJonesborough, TN 37659-4798 · (423) 438-0521

Phone(423) 283-0776

Fax(423) 283-0549

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMarch 7, 2007

Last NPPES UpdateOctober 29, 2019

✔ NPI 1265562144 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

Licenses✔ Licensed in TN · RN0000158056✔ Licensed in FL · APRN9387933

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.

1114 SUNSET DR, Johnson City, TN 37604

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Other Identifiers 1

MedicaidPENDINGTN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Shelley J Kudialis 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.

PECOS PAC ID7113027103

PECOS Enrollment IDI20191125001443

Areas of Expertise CMS Part B claims 2

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 exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

15 services15 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHRISTOPHER S GOLDEN CRNA

Nurse Anesthetist, Certified Registered

1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604

Washington County (423) 283-0776

DR. JOANNE E BACKOFEN M.D.

Anesthesiology

1114 SUNSET DR, STE 4
JOHNSON CITY, TN 37604

Washington County (423) 283-0776

MARTY DALE WALLACE CRNA

Nurse Anesthetist, Certified Registered

1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604

Washington County (423) 283-0776

DAN H BRANON CRNA

Nurse Anesthetist, Certified Registered

1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604

Washington County (423) 283-0776

DR. ROBERT J SCHWIND M.D.

Anesthesiology

1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604

Washington County (423) 283-0776

WILLIAM SENTER JACKSON CRNA

Nurse Anesthetist, Certified Registered

1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604

Washington County (423) 283-0776

KATHERINE A HART CRNA

Nurse Anesthetist, Certified Registered

1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604

Washington County (423) 283-0776

KIRAN M DESHMUKH MD

Anesthesiology

1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604

Washington County (423) 283-0776

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 Shelley Kudialis's NPI number?

The NPI number for Shelley Kudialis is 1265562144. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Shelley Kudialis located?

Shelley Kudialis practices at 1114 Sunset Dr Suite 4, Johnson City, TN 37604. The listed phone number is (423) 283-0776.

What is Shelley Kudialis's specialty?

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

Is Shelley Kudialis enrolled in Medicare?

Yes. Shelley Kudialis 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 Shelley Kudialis accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Shelley Kudialis 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.

When was this NPI record last updated?

The NPPES record for Shelley Kudialis was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.