SHAWN TULP (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255767778

SHAWN TULP (CRNA) is a healthcare provider. based in Ankeny, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN113911 (AZ). The NPI Number for SHAWN TULP (CRNA) is 1255767778

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN TULP (CRNA)
NPI
1255767778
Phone
(515) 401-4774
Address
1960 SW Magazine Rd
Enumeration Date
16 September 2013
Last Update Date
7 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5154014774
Graduation Year
2013 (13 years ago)
PAC ID
3678702834
Group Practice PAC ID
5294140851
Professional Enrollment ID
I20200630002193
Address ID
IA502666726WE1701XSTXX302

Contacts

Secure Messaging
stulp@vdmc.cernerdirect.com
Secure Messaging
HIM@hcmhn.cernerdirect.com
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:12State licenses:2Other names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

Provider Addresses for SHAWN TULP (CRNA)

  • 1960 SW Magazine Rd

    Ankeny, IA 500232978

    Phone: (515) 401-4774

    Fax: (515) 254-3092

    Type: Location

  • 167 N. Main Street

    Tuba City, AZ 860450600

    Phone: (928) 283-2094

    Type: Location

  • 1701 48th St Ste 260

    West Des Moines, IA 502666726

    Phone: (515) 401-4774

    Fax: (515) 254-3092

    Type: Location

  • PO BOX 430

    WEBSTER CITY, IA 505950430

    Phone: (515) 832-9400

    Fax: (515) 832-9494

    Type: Mailing

  • 2350 HOSPITAL DR

    WEBSTER CITY, IA 50595

    Phone: (515) 832-9400

    Fax: (515) 832-9494

    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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($20).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-06-30

PECOS data refreshed: 2026-05-27

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
I20140210001598ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20200630002193ICertified Registered Nurse Anesthetist (Crna)IATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50023)

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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: 5294140851View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

How is SHAWN TULP (CRNA) identified in CMS data?
CMS-hosted NPPES data lists SHAWN TULP (CRNA) with NPI 1255767778.
Is SHAWN TULP (CRNA) listed as active for patients and plans?
The listing shows SHAWN TULP (CRNA) as active in the NPI system.
What is SHAWN TULP (CRNA) best known for clinically?
Directory data describes SHAWN TULP (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is SHAWN TULP (CRNA) based?
SHAWN TULP (CRNA) is tied to Ankeny, Iowa in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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