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

Shelby Fullen, CAA

Individual provider Anesthesiologist Assistant · NPI 1023492816

Shelby Fullen, CAA is an Anesthesiology Assistant in Columbus, Ohio. Qualified in 2015, 11 years ago. Practices with Osu Observation Medicine, LLC, a 419-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia and Ohio.

Years since qualifying
11
Licensed in
DC, OH
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

410 W 10th Ave Fl 1
Columbus, OH 43210-1240
Phone: (614) 293-8487
Fax: (614) 293-8153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Irving St Nw, Washington, DC 20010-3017 — (202) 877-7000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 67.000543 (OH)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence AA000058 (DC)

Record details

NPI number1023492816
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAA
Sole proprietorNo
NPI enumeratedJuly 13, 2015
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Osu Observation Medicine, Llc — 419 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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