MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1790157014

MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) is a healthcare provider. based in Urbana, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 041.391110 (IL). The NPI Number for MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) is 1790157014

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHAWNA COLLEEN WATERSTRADT (CRNA)
NPI
1790157014
Phone
(217) 383-3303
Address
611 W. PARK ST.
Enumeration Date
26 October 2015
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2177844251
Graduation Year
2015 (11 years ago)
PAC ID
7416251582
Group Practice PAC ID
5092703124
Professional Enrollment ID
I20160210001164
Address ID
IL609362000GI4XXXXPARK300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for MRS. SHAWNA COLLEEN WATERSTRADT (CRNA)

  • 611 W. PARK ST.

    ANESTHESIOLOGY

    URBANA, IL 618012500

    Phone: (217) 383-3303

    Fax: (217) 383-3265

    Mailing address matches the actual address.

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: 2016-02-10

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160210001164ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Provider's Procedures

MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIL00790Anesthesia for procedure in upper abdomen including use of an endoscope1414

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: 5092703124View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) in the U.S.?
In the U.S., MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) is identified by NPI 1790157014.
Should I treat MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) as an active provider?
Patients and plans typically see MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) as active in the national extract.
How should patients interpret MRS. SHAWNA COLLEEN WATERSTRADT (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MRS. SHAWNA COLLEEN WATERSTRADT (CRNA). Clinical services aligned with this taxonomy classification.
Is MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) tied to Urbana, Illinois?
If you are local to Urbana, Illinois, MRS. SHAWNA COLLEEN WATERSTRADT (CRNA) may be relevant to your search.
Why is information missing for MRS. SHAWNA COLLEEN WATERSTRADT (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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