JEREMY SHANE BISON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194079806

JEREMY SHANE BISON (CRNA) is a healthcare provider. based in Sedalia, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. CRNA-01281 (NM). The NPI Number for JEREMY SHANE BISON (CRNA) is 1194079806

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY SHANE BISON (CRNA)
NPI
1194079806
Phone
(660) 826-5960
Address
PO BOX 1547
Enumeration Date
1 November 2012
Last Update Date
1 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5754925000
Graduation Year
2012 (14 years ago)
PAC ID
5991957896
Group Practice PAC ID
0648700666
Professional Enrollment ID
I20140221000235
Address ID
NM882409109HO4900XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

310 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NM

Provider Addresses for JEREMY SHANE BISON (CRNA)

  • PO BOX 1547

    SEDALIA, MO 653021547

    Phone: (660) 826-5960

    Type: Mailing

  • 2430 W PIERCE ST

    CARLSBAD, NM 882203553

    Phone: (318) 934-2242

    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 $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($69).

Total Amount

$69

General + Research + Ownership

Payments

4

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$69
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: 2019-03-06

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
I20140221000235ICertified Registered Nurse Anesthetist (Crna)NMTBD
I20190306002295ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 65302)

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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: 0648700666View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)NM

Reviews

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Frequently asked questions

What federal number belongs to JEREMY SHANE BISON (CRNA)?
The federal identifier for JEREMY SHANE BISON (CRNA) is NPI 1194079806.
Does this profile mean JEREMY SHANE BISON (CRNA) is currently active?
Yes — JEREMY SHANE BISON (CRNA) appears active in the national provider directory.
What does JEREMY SHANE BISON (CRNA) treat or focus on?
Patients typically see JEREMY SHANE BISON (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does JEREMY SHANE BISON (CRNA) practice in Missouri?
You will see Sedalia, Missouri on file for JEREMY SHANE BISON (CRNA) alongside any extra practice locations.
How can I contact JEREMY SHANE BISON (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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