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

Q: 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.

Q: What is Shelly Foltz's specialty?

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

Q: 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.

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: October 25, 2026.

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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.

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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignments

Medicare enrollment records show Shelly Foltz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Florida Anesthesia Services PLLC

3.2 mi

Anesthesiology

4796 HODGES BLVD STE 101
Jacksonville, FL 32224

Reassigned Medicare billing, Florida enrollment
30 clinicians in this Medicare group

NPI 1033691050 (904) 800-7246

Florida Institute Of Pain Medicine LLC

3.2 mi

Interventional Pain Medicine

4796 HODGES BLVD STE 101
Jacksonville, FL 32224

Reassigned Medicare billing, Florida enrollment
52 clinicians in this Medicare group

NPI 1194056283 (904) 449-7246

Riverside Anesthesia Services, LLC

17 mi

Nurse Anesthetist, Certified Registered

7207 GOLDEN WINGS RD, STE 200
Jacksonville, FL 32244

Reassigned Medicare billing, Florida enrollment
44 clinicians in this Medicare group

NPI 1134478209 (904) 389-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Shelly Foltz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Foltz reassigns Medicare benefits to 3 organizations: Northern Florida Anesthesia Services PLLC (Jacksonville, FL), Florida Institute Of Pain Medicine LLC (Jacksonville, FL) and Riverside Anesthesia Services, LLC (Jacksonville, FL). 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 Shelly Foltz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.