BART RANDALL SHIELDS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1740479989
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,270 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for BART RANDALL SHIELDS (CRNA)
1400 W Park St
Urbana, IL 618012334
Phone: (217) 337-2000
Type: Location
PO BOX 1278
BEDFORD PARK, IL 604991278
Phone: (217) 337-2000
Type: Mailing
611 W PARK ST
FAPC
URBANA, IL 618012501
Phone: (217) 838-3311
Fax: (217) 383-3265
Type: Mailing
OSF Heart of Mary Medical Center, 1400, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
URBANA, IL 618012334
Phone: (217) 337-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Stryker Corporation ($68).
Total Amount
$240
General + Research + Ownership
Payments
7
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2003-12-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20031218000178 | I | Certified Registered Nurse Anesthetist (Crna) | IL | 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 61801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Nurse Practitioner | IL | |
| - | FL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL |
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