JOHN PAUL SHANDERA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1891012480

JOHN PAUL SHANDERA (CRNA) is a healthcare provider. based in Kearney, Nebraska. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 63680 (NE). The NPI Number for JOHN PAUL SHANDERA (CRNA) is 1891012480

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JOHN PAUL SHANDERA (CRNA)
NPI
1891012480
Phone
(308) 236-5506
Address
PO BOX 1771
Enumeration Date
22 April 2010
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3088657100
Graduation Year
2010 (16 years ago)
PAC ID
9638202617
Group Practice PAC ID
9335132141
Professional Enrollment ID
I20100727001038
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

Provider Addresses for JOHN PAUL SHANDERA (CRNA)

  • PO BOX 1771

    KEARNEY, NE 688481771

    Phone: (308) 236-5506

    Fax: (308) 236-7089

    Type: Mailing

  • 115 E 52ND ST

    KEARNEY, NE 688470502

    Phone: (308) 236-5506

    Fax: (308) 236-7089

    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 $1,095.

Total Amount is formed as General ($1,095) + Research ($0) + Ownership ($0) = $1,095.

Last reported payment date: 2024-08-18 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($1,095).

Total Amount

$1,095

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-18

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: 2010-07-27

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
I20100727001038ICertified Registered Nurse Anesthetist (Crna)NETBD

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 surgery5454$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2221$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00910Anesthesia for other procedure on urinary system through urethra1514$0
View full utilization report →

Insurance plans in this area (ZIP 68848)

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Provider's Procedures

JOHN PAUL SHANDERA (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETNE00142Anesthesia for lens surgery1313
CERTIFIED REGISTERED NURSE ANESTHETNE76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1818

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: 9335132141View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NE
-NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)KS
-NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
-NE
Certified Registered Nurse Anesthetist (Crna)NE

Reviews

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Frequently asked questions

Can I verify JOHN PAUL SHANDERA (CRNA) with an NPI only?
You can start verification with NPI 1891012480 for JOHN PAUL SHANDERA (CRNA), then check state licensing separately.
Is JOHN PAUL SHANDERA (CRNA) still practicing?
JOHN PAUL SHANDERA (CRNA) is currently listed as active in the public NPI registry.
What is JOHN PAUL SHANDERA (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for JOHN PAUL SHANDERA (CRNA) here. Clinical services aligned with this taxonomy classification.
What area does JOHN PAUL SHANDERA (CRNA) serve?
JOHN PAUL SHANDERA (CRNA)'s listing highlights Kearney, Nebraska; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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