SHANNON CARLSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1689653826

SHANNON CARLSON (CRNA) is a healthcare provider. based in Novi, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704217760 (MI). The NPI Number for SHANNON CARLSON (CRNA) is 1689653826

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON CARLSON (CRNA)
NPI
1689653826
Phone
(248) 618-2121
Address
46325 W Twelve Mile Rd Ste 100
Enumeration Date
16 January 2006
Last Update Date
18 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2134991159
Graduation Year
2002 (24 years ago)
PAC ID
0648226076
Group Practice PAC ID
9739577461
Professional Enrollment ID
I20050329000368
Address ID
MI488592078MO4851XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for SHANNON CARLSON (CRNA)

  • 46325 W Twelve Mile Rd Ste 100

    Novi, MI 483772457

    Phone: (248) 618-2121

    Type: Location

  • PO BOX 67000

    DEPT 203401

    DETROIT, MI 482670002

    Phone: (952) 442-9770

    Type: Mailing

  • Huron Valley-Sinai Hospital, 1, William Carls Drive, Commerce, Commerce Township, Oakland County, Michigan, 48382, United States

    COMMERCE TWP, MI 483822201

    Phone: (248) 937-3307

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($34).

Total Amount

$71

General + Research + Ownership

Payments

4

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2005-03-29

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
I20050329000368ICertified Registered Nurse Anesthetist (Crna)MITBD

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 surgery1717$0
View full utilization report →

Insurance plans in this area (ZIP 48377)

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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: 9739577461View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)NY
Anesthesiology, Interventional Pain ManagementMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YNJ
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Is SHANNON CARLSON (CRNA) listed with a National Provider Identifier?
Yes — SHANNON CARLSON (CRNA) has NPI 1689653826 on file in the registry.
Is there an active status for SHANNON CARLSON (CRNA)?
For scheduling context, SHANNON CARLSON (CRNA) is shown as active in the registry.
What area of care is associated with SHANNON CARLSON (CRNA)?
SHANNON CARLSON (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with SHANNON CARLSON (CRNA)?
Directory geography for SHANNON CARLSON (CRNA) centers on Novi, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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