SHANNON NGUYEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053890327

SHANNON NGUYEN (CRNA) is a healthcare provider. based in Joplin, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2018029466 (MO). The NPI Number for SHANNON NGUYEN (CRNA) is 1053890327

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON NGUYEN (CRNA)
NPI
1053890327
Phone
(417) 347-1111
Address
1102 W 32nd St
Enumeration Date
8 August 2018
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4794042551
Graduation Year
2018 (8 years ago)
PAC ID
5597016568
Group Practice PAC ID
6406077460
Professional Enrollment ID
I20181213000331
Address ID
AR727034033FA3271XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for SHANNON NGUYEN (CRNA)

  • 1102 W 32nd St

    Joplin, MO 648043594

    Phone: (417) 347-1111

    Type: Location

  • 2710 S Rife Medical Ln

    Rogers, AR 727581452

    Phone: (479) 338-8000

    Fax: (479) 338-3056

    Type: Location

  • 503, West Maple Avenue, Springdale, Washington County, Arkansas, 72764, United States

    SPRINGDALE, AR 72764

    Phone: (479) 751-3722

    Fax: (479) 751-1099

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($22).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

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: 2018-12-13

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
I20181213000331ICertified Registered Nurse Anesthetist (Crna)ARTBD

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 endoscope2626$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

Loading plans...

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: 6406077460View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
A N E S T H E S I O L O G YAR
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AR
-AR
-OK
-AR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows SHANNON NGUYEN (CRNA) across health systems?
The NPI 1053890327 uniquely identifies SHANNON NGUYEN (CRNA) in U.S. healthcare data.
Quick check: is SHANNON NGUYEN (CRNA) active?
Public NPPES data shows SHANNON NGUYEN (CRNA) with an active NPI status right now.
Which specialty label fits SHANNON NGUYEN (CRNA)?
NPPES ties SHANNON NGUYEN (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit SHANNON NGUYEN (CRNA) in Joplin, Missouri?
For routing, start with Joplin, Missouri for SHANNON NGUYEN (CRNA), then verify phone and hours locally.
Who maintains SHANNON NGUYEN (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

MR. JOE VERNON JR. CASEY (CRNA)

Certified Registered Nurse Anesthetist
1102, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States
NPI: 1104825116
1 OLD MILL CIR
NPI: 1285636803

RICHARD MCAMISH (CRNA)

Certified Registered Nurse Anesthetist
505, Galaxy Drive, Jackson, Madison County, Tennessee, 38305, United States
NPI: 1598757569

PAULA KAY RUBISON (CRNA)

Certified Registered Nurse Anesthetist
1102, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States
NPI: 1982698940

RICKY R BROWN (CRNA)

Certified Registered Nurse Anesthetist
Mercy Hospital Joplin, 100, Mercy Way, Joplin, Newton County, Missouri, 64804, United States
NPI: 1689655649

NATHAN C. BUERGE (CRNA)

Certified Registered Nurse Anesthetist
1 MT CARMEL WAY
NPI: 1184603391

DON DEWAYNE ENYART (CRNA)

Certified Registered Nurse Anesthetist
1905, West 32nd Street, Gregg, Joplin, Newton County, Missouri, 64804, United States
NPI: 1578533527

TERRI SUSANN TRACY (CRNA)

Certified Registered Nurse Anesthetist
1905, West 32nd Street, Gregg, Joplin, Newton County, Missouri, 64804, United States
NPI: 1598735185

JEANNIE MARIE PETERSON (CRNA)

Certified Registered Nurse Anesthetist
29 NW 1st Ln
NPI: 1992775506