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Shelby Fullen , CAA

Anesthesiologist Assistant • Columbus, OH

Active NPI 1023492816 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

410 W 10th Ave Fl 1
Columbus, OH 432101240

Call 6142938487 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

410 W 10th Ave Fl 1

Columbus, OH 432101240

Telephone 6142938487
Fax 6142938153
Organization at the Same NPPES Address or Phone
Osu Observation Medicine Svs Dental Facility NPI 1386391456

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Washington, DC. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Osu Observation Medicine, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Medicare patients

31 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $2,522 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $2,012 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shelby Fullen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Columbus and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Anesthesiologist Assistant in Columbus, OH (2024, 32 clinicians with data). Median for this group: 24. Middle half: 16 to 48.

Fewer Medicare Part B services than 95% of clinicians listed under Anesthesiologist Assistant in Ohio (2024, 202 clinicians with data). Median for this group: 38. Middle half: 18 to 74.

Medicare-allowed amount

Close to the middle for clinicians listed under Anesthesiologist Assistant in Columbus, OH (2024, 32 clinicians with data). Median for this group: $2,149. Middle half: $1,414 to $5,969.

A lower Medicare-allowed amount than 60% of clinicians listed under Anesthesiologist Assistant in Ohio (2024, 202 clinicians with data). Median for this group: $3,538. Middle half: $1,726 to $6,954.

Paid by Medicare

Close to the middle for clinicians listed under Anesthesiologist Assistant in Columbus, OH (2024, 32 clinicians with data). Median for this group: $1,662. Middle half: $1,126 to $4,593.

A lower Medicare payment amount than 60% of clinicians listed under Anesthesiologist Assistant in Ohio (2024, 202 clinicians with data). Median for this group: $2,839. Middle half: $1,367 to $5,571.

68 active clinicians are listed under Anesthesiologist Assistant with a practice address in Columbus, OH (450 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0% of these 68 clinicians have the CMS telehealth indicator.

80.9% of these 68 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
00790 Anesthesia for other procedure on upper abdomen
11 11 $1221.08 $229.28

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-25
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

License # reported to NPPES OH 67.000543

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

License # reported to NPPES DC AA000058

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY ASSISTANT

Medicare Enrollment ID

I20250506000399

Enrollment State Jurisdiction

OH

PECOS Control ID

0446569461

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Osu Observation Medicine, Llc

410 W 10th Ave, Columbus, OH 432101240

Phone: 6142938487

Secondary Practice Locations

110 Irving St Nw

Washington, DC 200103017

Phone: 2028777000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Nicole Amore , APRN-CRNA

Nurse Anesthetist, Certified Registered

NPI 1023337318

APRNCRNA

Rachel Ashworth , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003188038

Certified Registered Nurse Anesthetist

Anna Bever , APRNCRNA

Nurse Anesthetist, Certified Registered

NPI 1083218531
NPI 1013479021

Doctor of Medicine (M.D.)

Dr. Edward Chen , MD

Anesthesiology

NPI 1104868272

Doctor of Medicine (M.D.)

Ashley Dellimuti , AA

Anesthesiologist Assistant

NPI 1093251738

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location April 25, 2025

Registered at 410 W 10TH AVE FL 1, COLUMBUS, OH 432101240 (Tel: 6142938487)

📍
Updated Business Mailing Address April 25, 2025

Registered at 700 ACKERMAN RD STE 2120, COLUMBUS, OH 432021559 (Tel: 6142938487)

✅
NPI Profile Active July 13, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 13, 2015

Registered at 110 IRVING ST NW, WASHINGTON, DC 200103017 (Tel: 2028777000)

📍
Business Mailing Address (Initial Record) July 13, 2015

Registered at 1771 CHURCH ST NW, APT 1, WASHINGTON, DC 200361374 (Tel: 6147535180)

👤
Provider Name / Credentials (Initial Record) July 13, 2015

Recorded as SHELBY FULLEN, CAA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2015

Anesthesiologist Assistant (license number reported to NPPES: DC AA000058)

🟢
Initial NPI Registration & Enumeration July 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023492816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2015
Last Update: April 25, 2025
Sole Proprietor: No

Other Anesthesiologist Assistants in Columbus

All Anesthesiologist Assistants in Columbus

More public profiles in Ohio

Directory navigation, in NPI number order.

Mailing Address

700 Ackerman Rd Ste 2120

Columbus, OH 432021559

Phone: 6142938487

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.