Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shelby D Koetter

Individual provider Certified Registered Nurse Anesthetist · NPI 1093346512

Mrs. Shelby D Koetter is a Certified Registered Nurse Anesthetist (CRNA) in Dayton, Ohio. Qualified in 2019, 7 years ago. Practices with Phs Anesthesia Billing, LLC, a 239-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-6173
Fax: (937) 208-3843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.020052 (OH)

Record details

NPI number1093346512
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Phs Anesthesia Billing, Llc — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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