IndividualActive
Shelby Denicke, CRNA
NPI 1235400623 · Certified Registered Nurse Anesthetist · Springfield, IL
Provider details
- NPI number
- 1235400623
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 2012001557 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 E Carpenter St
Springfield, IL 62769-2417
Phone: (217) 544-6464
Street-level locationGet directions
Mailing address
800 E Carpenter St
Springfield, IL 62769-1000
Additional practice locations (1)
- 1 Barnes Jewish Hospital Plz Dept ofSaint Louis, MO 63110-1003Phone: (800) 662-9980
Registry dates
- Enumerated
- 2012-01-18
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.