SHANNON WOODALL BETSILL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1346219680

SHANNON WOODALL BETSILL (CRNA) is a healthcare provider. based in Atlanta, Georgia. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. RN111983 (GA). The NPI Number for SHANNON WOODALL BETSILL (CRNA) is 1346219680

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON WOODALL BETSILL (CRNA)
NPI
1346219680
Phone
(941) 360-1566
Address
PO BOX 740209
Enumeration Date
17 March 2006
Last Update Date
12 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6789852000
Graduation Year
1997 (29 years ago)
PAC ID
3971545195
Group Practice PAC ID
3072757079
Professional Enrollment ID
I20050527000438
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SHANNON WOODALL BETSILL (CRNA)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    DEPT. 1029

    ATLANTA, GA 303740209

    Phone: (941) 360-1566

    Fax: (941) 358-9818

    Type: Mailing

  • 2500, Hospital Boulevard, Roswell, Fulton County, Georgia, 30076, United States

    SUITE 480

    ROSWELL, GA 30076

    Phone: (678) 762-0676

    Fax: (678) 762-7980

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Abbott Laboratories ($28).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$28
View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050527000438ICertified Registered Nurse Anesthetist (Crna)GATBD
I20201110000181ICertified Registered Nurse Anesthetist (Crna)COTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery6359$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1212$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072757079View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What NPI should I save for SHANNON WOODALL BETSILL (CRNA)?
Save NPI 1346219680 if you need a stable reference for SHANNON WOODALL BETSILL (CRNA).
Is SHANNON WOODALL BETSILL (CRNA) currently active in the NPI registry?
CMS-published data lists SHANNON WOODALL BETSILL (CRNA) as an active registrant.
Does SHANNON WOODALL BETSILL (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for SHANNON WOODALL BETSILL (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNON WOODALL BETSILL (CRNA)?
The page summarizes Atlanta, Georgia for SHANNON WOODALL BETSILL (CRNA); expand the address list for detail.
How can I contact SHANNON WOODALL BETSILL (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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