Shelley J. Kudialis, CRNA
Certified Registered Nurse Anesthetist · Johnson City, TN
Shelley J. Kudialis, CRNA is a certified registered nurse anesthetist with a practice address in Johnson City, Tennessee, and NPI 1265562144, issued on Mar 7, 2007. Check the license (Tennessee RN0000158056, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shelley J. Kudialis
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- RN0000158056 TN
APRN9387933 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1114 Sunset Dr, Johnson City, TN 37604
- Phone
- (423) 283-0776
- Enumerated
- Mar 7, 2007
- Record last updated
- Oct 29, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (423) 283-0549
- Medicaid ID
- PENDING TN
- Medicare enrollment
- Enrolled (PECOS I20191125001443); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 3,117 in Tennessee → Look up another NPI →
Also registered at 1114 Sunset Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Robert Ashburn, M.D.Anesthesiology Physician1831195742
- Joanne Backofen, M.D.Anesthesiology Physician1114924537
- Dan Branon, CRNACertified Registered Nurse Anesthetist1174508964
- Joseph Brown, M.D.Anesthesiology Physician1477551828
- Jerry Bullard, CRNACertified Registered Nurse Anesthetist1598765919
- Patricia Cathelyn, CRNACertified Registered Nurse Anesthetist1851393805
Verify Shelley J. Kudialis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license RN0000158056Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 3 group practices
- Anesthesia Dynamics LLCTampa, FL
- Crh Anesthesia OF Florida LLCTampa, FL
- Srq Anesthesia LLCSarasota, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shelley J. Kudialis among 3,117 certified registered nurse anesthetist records in Tennessee
Shelley J. Kudialis, CRNA is one of 3,117 certified registered nurse anesthetist records with a practice address in Tennessee. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 35% of them.
- NPI issued2007 · 35% of these records are older, 60% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated1994 · median 2012 among the 2,370 with a school on file
- Record last updated2019 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
86 certified registered nurse anesthetist records list a practice address in Johnson City
They are 86 of the 3,807 NPPES records with a practice address in Johnson City, and 3,117 certified registered nurse anesthetist records in Tennessee.
All 3,117 in Tennessee → Every provider in Johnson City → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Sheila Beasley, CRNAJohnson City, TN 376041861493793
- Jerry Bullard, CRNAJohnson City, TN 376041598765919
- Jodi Carlsen, CRNAJohnson City, TN 376041093707986
- Patricia Cathelyn, CRNAJohnson City, TN 376041851393805
- Larry Cornwell, CRNAJohnson City, TN 376041841292810
- Samuel Davenport, CRNAJohnson City, TN 376041083616056
- Amy Erickson, CRNAJohnson City, TN 376041528060423
- Donna Fowler, CRNAJohnson City, TN 376041144222894
Common questions
What is Shelley J. Kudialis, CRNA's NPI number?
Shelley J. Kudialis, CRNA's National Provider Identifier (NPI) is 1265562144, issued on Mar 7, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Shelley J. Kudialis, CRNA located?
The NPPES record lists a practice address at 1114 Sunset Dr, Johnson City, TN, 37604. Phone: (423) 283-0776. Providers update this record themselves, so call before visiting.
How can I verify Shelley J. Kudialis, CRNA's license?
NPPES lists Tennessee license number RN0000158056, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.