SHELLEY J KUDIALIS CRNA
NPI 1265562144
Nurse Anesthetist, Certified Registered in Johnson City, TN
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignments
15Medicare enrollment records show Shelley Kudialis reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lenoir City, TN 37772
- Reassigned Medicare billing, Tennessee enrollment
- 124 clinicians in this Medicare group
Ocala, FL 34471
- Reassigned Medicare billing, Florida enrollment
- 42 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Florida enrollment
- 768 clinicians in this Medicare group
Lady Lake, FL 32159
- Reassigned Medicare billing, Florida enrollment
- 230 clinicians in this Medicare group
Maitland, FL 32751
- Reassigned Medicare billing, Florida enrollment
- 2,356 clinicians in this Medicare group
Orlando, FL 32806
- Reassigned Medicare billing, Florida enrollment
- 79 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 28 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Sarasota, FL 34239
- Reassigned Medicare billing, Florida enrollment
- 42 clinicians in this Medicare group
Venice, FL 34285
- Reassigned Medicare billing, Florida enrollment
- 32 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 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.
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.
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.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
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.
Which organizations bill Medicare for Shelley Kudialis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Kudialis reassigns Medicare benefits to 15 organizations: Resource Anesthesia, P.C. (Lenoir City, TN), Anesthesia Associates Of Ocala, LLC (Ocala, FL), Ams National LLC (Pensacola, FL), St. Lucie Anesthesia Associates, LLC (Lady Lake, FL), Us Anesthesia Partners Of Florida Inc. (Maitland, FL) and 10 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 Shelley Kudialis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelley Kudialis accept?
Health plans from Cigna Healthcare, Oscar Health, 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.
# Shelley J Kudialis, CRNA · NPI 1265562144
Nurse Anesthetist, Certified Registered physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1265562144 (Entity type: Individual)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN0000158056 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1114 SUNSET DR, SUITE 4, Johnson City, TN 37604-2969
- **Phone:** (423) 283-0776 · **Fax:** (423) 283-0549
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Resource Anesthesia, P.C. (NPI 1033162045, Lenoir City, TN); Anesthesia Associates Of Ocala, LLC (NPI 1962808287, Ocala, FL); Ams National LLC (NPI 1316330830, Pensacola, FL); St. Lucie Anesthesia Associates, LLC (NPI 1821660523, Lady Lake, FL); Us Anesthesia Partners Of Florida Inc. (NPI 1518910520, Maitland, FL); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** October 29, 2019
- **Other identifiers:** Medicaid PENDING (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1265562144) · Data from the CMS NPPES public registry.