MR. STETLER LADD SHUMWAY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1902474893
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
801 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO
Provider Addresses for MR. STETLER LADD SHUMWAY (CRNA)
95 S Pagosa Blvd
Pagosa Springs, CO 811478329
Phone: (970) 731-3700
Fax: (970) 731-3707
Type: Location
2801 N BLUE MOUNTAIN RD
BLANDING, UT 845112012
Phone: (435) 459-2616
Type: Mailing
380 W 100 N
MONTICELLO, UT 84535
Phone: (435) 587-2116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210806000646 | I | Certified Registered Nurse Anesthetist (Crna) | UT | TBD |
| I20250117001794 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
| I20250313000243 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81147)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CA | |
| General Surgery | NC | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| - | KS | |
| Nurse Practitioner | UT | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | UT | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT |
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