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

Shelby Jo Sullivan, CRNA

Individual provider Registered Nurse · NPI 1306578638

Shelby Jo Sullivan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lincoln, Nebraska. Qualified in 2023, 3 years ago. Practices with Associated Anesthesiologists, PC, a 103-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
3
Licensed in
NE
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2900 S 70th St Ste 450
Lincoln, NE 68506-3796
Phone: (402) 730-0230
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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 101759 (NE)
Registered Nurse Taxonomy 163W00000X · Licence 81623 (NE)

Record details

NPI number1306578638
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Associated Anesthesiologists, Pc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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