JESSICA D SHADBURNE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1336136365

JESSICA D SHADBURNE (CRNA) is a healthcare provider. based in Louisville, Kentucky. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 1094943 (KY). The NPI Number for JESSICA D SHADBURNE (CRNA) is 1336136365

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA D SHADBURNE (CRNA)
NPI
1336136365
Phone
(502) 458-7400
Address
3101 BRECKENRIDGE LN
Enumeration Date
4 October 2005
Last Update Date
1 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024587400
Graduation Year
1993 (33 years ago)
PAC ID
6204809403
Group Practice PAC ID
6800785742
Professional Enrollment ID
I20040816001414
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for JESSICA D SHADBURNE (CRNA)

  • 3101, Breckenridge Lane, Louisville, Jefferson County, Kentucky, 40220, United States

    SUITE 1A

    LOUISVILLE, KY 402202742

    Phone: (502) 458-7400

    Fax: (502) 458-7449

    Type: Mailing

  • PO BOX 909

    LOUISVILLE, KY 402010909

    Phone: (502) 588-0328

    Type: Mailing

  • 3920 DUTCHMANS LN

    LOUISVILLE, KY 402074702

    Phone: (502) 259-6710

    Fax: (502) 259-6704

    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 $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Boston Scientific Corporation ($22).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-25

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 40220)

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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: 6800785742View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
-KY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
-KY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What number should I use to identify JESSICA D SHADBURNE (CRNA) for billing?
Administrative and clinical systems typically use NPI 1336136365 for JESSICA D SHADBURNE (CRNA).
Quick check: is JESSICA D SHADBURNE (CRNA) active?
Public NPPES data shows JESSICA D SHADBURNE (CRNA) with an active NPI status right now.
How should patients interpret JESSICA D SHADBURNE (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for JESSICA D SHADBURNE (CRNA). Clinical services aligned with this taxonomy classification.
What city is tied to JESSICA D SHADBURNE (CRNA)?
The directory associates JESSICA D SHADBURNE (CRNA) with Louisville, Kentucky. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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