SHELBY JO SULLIVAN CRNA
NPI 1306578638
Nurse Anesthetist, Certified Registered in Lincoln, NE

Active since June 27, 2022Accepts Medicare Assignment
2900 S 70TH ST STE 450, LINCOLN, NE 68506(402) 730-0230 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2023, Apr 11, 2023 (2 updates tracked since 2023).

About Shelby Jo Sullivan Crna NPPES

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

SHELBY JO SULLIVAN CRNA (NPI 1306578638) is an individual nurse anesthetist, certified registered in Lincoln, Nebraska, licensed in Nebraska (101759) and active in the NPI registry since June 2022. She is affiliated with Bryan Medical Center and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306578638
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHELBY JO SULLIVANCredential: CRNA
Location Address2900 S 70TH ST STE 450Lincoln, NE 68506-3796
Mailing Address2900 S 70th St Ste 450Lincoln, NE 68506-3796
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2022
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
NPI 1306578638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NE · 101759
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 81623 (NE)
2900 S 70TH ST STE 450, Lincoln, NE 68506

Other Names 1

Former Name (1)Shelby Jo Spicka

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 Jo Sullivan 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 ID7517324965
PECOS Enrollment IDI20230531001456

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
48 services48 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.
20 services20 patients
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 2

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Lincoln Surgical Hospital

Acute Care Hospitals · Lincoln, NE
OwnershipProprietary
CMS Certification Number280127
Location1710 South 70th StreetLincoln, NE 68506 · Lancaster County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

Anesthesiology
2900 S 70TH ST STE 450
LINCOLN, NE 68506
Nurse Anesthetist, Certified Registered
2900 S 70TH ST STE 450
LINCOLN, NE 68506
Nurse Anesthetist, Certified Registered
2900 S 70TH ST STE 450
LINCOLN, NE 68506
Nurse Anesthetist, Certified Registered
2900 S 70TH ST STE 450
LINCOLN, NE 68506
Nurse Anesthetist, Certified Registered
2900 S 70TH ST STE 450
LINCOLN, NE 68506
Nurse Anesthetist, Certified Registered
2900 S 70TH ST STE 450
LINCOLN, NE 68506
Nurse Anesthetist, Certified Registered
2900 S 70TH ST STE 450
LINCOLN, NE 68506
Anesthesiology
2900 S 70TH ST STE 450
LINCOLN, NE 68506

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 Sullivan's NPI number?

The NPI number for Shelby Sullivan is 1306578638. It was assigned to this individual provider in the NPPES registry on June 27, 2022. The provider is also known as Shelby Jo Spicka.

Where is Shelby Sullivan located?

Shelby Sullivan practices at 2900 S 70th St Ste 450, Lincoln, NE 68506. The listed phone number is (402) 730-0230.

What is Shelby Sullivan's specialty?

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

Is Shelby Sullivan enrolled in Medicare?

Yes. Shelby Sullivan 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 Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 1 other insurer list Shelby Sullivan 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 Sullivan affiliated with any hospitals?

According to CMS data, Shelby Sullivan is affiliated with Bryan Medical Center and Lincoln Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Sullivan was last updated on May 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.