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SHELLY ANN FOLTZ CRNA
NPI 1962482794
Anesthesiologist Assistant in Ponte Vedra Beach, FL

Active since January 18, 2006
418 ROYAL TERN RD S, PONTE VEDRA BEACH, FL 32082(904) 501-8985 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelly Ann Foltz Crna NPPES

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

SHELLY ANN FOLTZ CRNA (NPI 1962482794) is an individual anesthesiologist assistant in Ponte Vedra Beach, Florida, licensed in Florida (ARNP1796622) and active in the NPI registry since January 2006. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1962482794
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameSHELLY ANN FOLTZCredential: CRNA
Location Address418 ROYAL TERN RD SPonte Vedra Beach, FL 32082-7222
Mailing Address418 Royal Tern Rd SPonte Vedra Beach, FL 32082-7222 · (904) 501-8995
Phone(904) 501-8985
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJuly 8, 2019
✔ NPI 1962482794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in FL · ARNP1796622
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License ARNP 1796622 (FL)
418 ROYAL TERN RD S, Ponte Vedra Beach, FL 32082
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Ann Foltz Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123060142
PECOS Enrollment IDI20050531000598

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 Shelly Foltz's NPI number?

The NPI number for Shelly Foltz is 1962482794. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Shelly Foltz located?

Shelly Foltz practices at 418 Royal Tern Rd S, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 501-8985.

What is Shelly Foltz's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Shelly Foltz enrolled in Medicare?

Yes. Shelly Foltz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelly Foltz was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.