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MR. ZACHARY O'HARA SHELBY JR. CRNA
NPI 1770646077
Nurse Anesthetist, Certified Registered in Clarksdale, MS

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
1970 HOSPITAL DR, CLARKSDALE, MS 38614(662) 627-3211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Zachary O'hara Shelby Jr. Crna NPPES

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

MR. ZACHARY O'HARA SHELBY JR. CRNA (NPI 1770646077) is an individual nurse anesthetist, certified registered in Clarksdale, Mississippi, licensed in Tennessee (RN0000071864) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Missississippi Regional Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1770646077
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ZACHARY O'HARA SHELBY JR.Credential: CRNA
Location Address1970 HOSPITAL DRClarksdale, MS 38614-7202
Mailing Address876 Dolan RdMemphis, TN 38116-4008 · (901) 332-8130
Phone(662) 627-3211
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770646077 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
License✔ Licensed in TN · RN0000071864
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.
1970 HOSPITAL DR, Clarksdale, MS 38614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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. Zachary O'hara Shelby 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.

PECOS PAC ID345343711
PECOS Enrollment IDI20070306000390
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

2

Medicare enrollment records show Zachary Shelby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Miss Regional Medical Center
Same address
Internal Medicine
1970 HOSPITAL DR
Clarksdale, MS 38614
  • Reassigned Medicare billing, Mississippi enrollment
  • 29 clinicians in this Medicare group
NPI 1598458515 (662) 627-3211
Delta Health System
61 mi
Anesthesiology
1400 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 32 clinicians in this Medicare group
NPI 1447818026 (662) 378-3783

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.

Northwest Missississippi Regional Medical Center

Acute Care Hospitals · Clarksdale, MS
OwnershipProprietary
CMS Certification Number250042
Location1970 Hospital DriveClarksdale, MS 38614 · Coahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38614 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

DR. RODNEY WILLIAM BAINE MD,MFA,PHD
Emergency Medicine
1970 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (662) 624-3580
APRIL DANIELLE CARTER M.D.
Internal Medicine
1970 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (337) 842-7896
MAHA WASEF MD
Anesthesiology
1970 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (662) 627-3211
APRIL GREEN ATC
Specialist/Technologist (Athletic Trainer)
1970 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (662) 902-1456
DR. ANDREW AYERS MARTIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1970 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (662) 624-3429
DELTA RADIOLOGY ASSOCIATES, PLLC
Radiology (Diagnostic Radiology)
1970 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (863) 402-0064
DELTA HEALTH SYSTEM
Clinic/Center (Emergency Care)
1970 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (662) 627-3211
RAD-ONE, PA
Radiology (Diagnostic Radiology)
1970 HOSPITAL DR
CLARKSDALE, MS 38614
Coahoma County (214) 978-3246

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 Zachary Shelby's NPI number?

The NPI number for Zachary Shelby is 1770646077. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Zachary Shelby located?

Zachary Shelby practices at 1970 Hospital Dr, Clarksdale, MS 38614. The listed phone number is (662) 627-3211.

What is Zachary Shelby's specialty?

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

Is Zachary Shelby enrolled in Medicare?

Yes. Zachary Shelby 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 Zachary Shelby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Shelby reassigns Medicare benefits to 2 organizations: Northwest Miss Regional Medical Center (Clarksdale, MS) and Delta Health System (Greenville, MS). 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 Zachary Shelby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Shelby accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Zachary Shelby 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 Zachary Shelby affiliated with any hospitals?

According to CMS data, Zachary Shelby is affiliated with Northwest Missississippi Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Zachary Shelby was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.