MR. SHELBY TANNER MOLLENKAMP CRNA
NPI 1578021374
Nurse Anesthetist, Certified Registered in Topeka, KS

Active since March 11, 2019PECOS EnrolledAccepts Medicare Assignment
1500 SW 10TH AVE, TOPEKA, KS 66604(785) 354-6000 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2023, Mar 11, 2019 (2 updates tracked since 2019).

About Mr. Shelby Tanner Mollenkamp Crna NPPES

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

MR. SHELBY TANNER MOLLENKAMP CRNA (NPI 1578021374) is an individual nurse anesthetist, certified registered in Topeka, Kansas, licensed in Kansas (557708) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Salina Regional Health Center, and maintains a secondary practice location in Salina.

NPPES Registry Identity

NPI1578021374
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. SHELBY TANNER MOLLENKAMPCredential: CRNA
Location Address1500 SW 10TH AVETopeka, KS 66604-1301
Mailing Address4 E Piankishaw StPaola, KS 66071-1717 · (785) 754-8265
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2019
Enumeration DateMarch 11, 2019
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1578021374 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 KS · 557708
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 13-120438-042 (KS)
1500 SW 10TH AVE, Topeka, KS 66604

Secondary Practice Location 1

Location 1200 S 5th St Ste ASalina, KS 67401-3906 · Phone (785) 827-2238 · Fax (785) 827-1684

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

Mr. Shelby Tanner Mollenkamp 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 ID5395079784
PECOS Enrollment IDI20190618002472
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Shelby Mollenkamp reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
629 S PLUMMER AVE
Chanute, KS 66720
  • Reassigned Medicare billing, Kansas enrollment
  • 75 clinicians in this Medicare group
Anesthesiology
200 S 5TH ST STE A
Salina, KS 67401
  • Reassigned Medicare billing, Kansas enrollment
  • Medicare enrollment name: Anesthesia Associates Of Central Kansas PA
  • 47 clinicians in this Medicare group
Anesthesiology
400 S SANTA FE AVE
Salina, KS 67401
  • Reassigned Medicare billing, Kansas enrollment
  • 49 clinicians in this Medicare group
Anesthesiology
929 N SAINT FRANCIS ST
Wichita, KS 67214
  • Reassigned Medicare billing, Kansas enrollment
  • 101 clinicians in this Medicare group
Anesthesiology
2201 S STERLING ST
Morganton, NC 28655
  • Reassigned Medicare billing, North Carolina enrollment
  • 116 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.

Hospital Affiliations CMS Care Compare

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

Salina Regional Health Center

Acute Care Hospitals · Salina, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170012
Location400 South Santa Fe AvenueSalina, KS 67401 · Saline County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66604 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

Speech-Language Pathologist
1500 SW 10TH AVE
TOPEKA, KS 66604
Nurse Practitioner
1500 SW 10TH AVE
TOPEKA, KS 66604
Social Worker (Clinical)
1500 SW 10TH AVE
TOPEKA, KS 66604
Emergency Medicine
1500 SW 10TH AVE
TOPEKA, KS 66604
Hospitalist
1500 SW 10TH AVE
TOPEKA, KS 66604
Psychiatry & Neurology (Vascular Neurology)
1500 SW 10TH AVE
TOPEKA, KS 66604
Dietitian, Registered
1500 SW 10TH AVE
TOPEKA, KS 66604
Physical Therapy Assistant
1500 SW 10TH AVE
TOPEKA, KS 66604

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 Mollenkamp's NPI number?

The NPI number for Shelby Mollenkamp is 1578021374. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Shelby Mollenkamp located?

Shelby Mollenkamp practices at 1500 SW 10th Ave, Topeka, KS 66604. The listed phone number is (785) 354-6000.

What is Shelby Mollenkamp's specialty?

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

Is Shelby Mollenkamp enrolled in Medicare?

Yes. Shelby Mollenkamp 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 Shelby Mollenkamp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Mollenkamp reassigns Medicare benefits to 5 organizations: Clinical Colleagues Ks PA (Chanute, KS), Anesthesia Associates Of Central Kansas, P.A. (Salina, KS), Premier Anesthesia Of Washington, PC (Salina, KS), Anesthesia Consulting Services, PA (Wichita, KS) and Morganton Anesthesia Partners, PLLC (Morganton, NC). 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 Shelby Mollenkamp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Mollenkamp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Shelby Mollenkamp 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 Mollenkamp affiliated with any hospitals?

According to CMS data, Shelby Mollenkamp is affiliated with Salina Regional Health Center.

When was this NPI record last updated?

The NPPES record for Shelby Mollenkamp was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.