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Active NPI 1023492816 Individual Practitioner Female Practitioner

Shelby Fullen , CAA

Anesthesiologist Assistant • Columbus, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shelby Fullen, CAA is a certified Anesthesiologist Assistant practicing in Columbus, OH. With approximately 11 years of clinical experience since completing medical education in 2015, Shelby Fullen delivers high-quality medical care to the local community at 410 W 10TH AVE FL 1.

Shelby Fullen is affiliated with Osu Observation Medicine, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure in upper abdomen including use of an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for insertion or replace of pacing heart defibrillator. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

410 W 10th Ave Fl 1

Columbus, OH 432101240

Telephone 6142938487
Fax 6142938153
Associated Practice Facility / Clinic
🏢 Osu Observation Medicine, Llc Facility NPI 1407095052

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Columbus, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +5.1 yrs vs City Avg
City Avg: 5.9 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
68 Specialists

Practicing in Columbus, OH (454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fullen (11 Years) 11 Yrs
Columbus Specialty Average (5.9 Years) 5.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00790 Anesthesia for procedure in upper abdomen including use of an endoscope
11 11 $1221.08 $229.28

Medical Specialties & State Licenses

CMS Verified: 2025-04-25
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License 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

State License 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.

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lara Vanhuysen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003069543

Certified Registered Nurse Anesthetist

NPI 1003172750

Doctor of Osteopathic Medicine (D.O.)

Rachel Ashworth , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003188038

Certified Registered Nurse Anesthetist

Hannah Lazar , APRNCRNA

Nurse Anesthetist, Certified Registered

NPI 1003382862
Mary Carol Shurman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003817222

Certified Registered Nurse Anesthetist

Gina Reno , APRN-CRNA

Nurse Anesthetist, Certified Registered

NPI 1013108315

APRNCRNA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

📍
Updated Practice Location July 13, 2015

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

📍
Updated Business Mailing Address July 13, 2015

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

👤
Provider Name / Credentials Updated July 13, 2015

Recorded as SHELBY FULLEN, CAA

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

Anesthesiologist Assistant (License #AA000058 in DC)

🟢
Initial NPI Registration & Enumeration July 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

700 Ackerman Rd Ste 2120

Columbus, OH 432021559

Phone: 6142938487

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.