SHIBAHN JOLENE BAILEY (CRNA, MS) – Certified Registered Nurse Anesthetist, NPI 1306199542
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,121 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ
Provider Addresses for SHIBAHN JOLENE BAILEY (CRNA, MS)
76 Biddle Way
Mount Laurel, NJ 080545274
Phone: (410) 608-4906
Type: Location
76 BIDDLE WAY
MOUNT LAUREL, NJ 080545274
Phone: (410) 608-4906
Type: Mailing
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
Phone: (919) 784-5103
Type: Location
108 ABBEVILLE LN
HOLLY SPRINGS, NC 275407379
Phone: (410) 608-4906
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $18 |
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: 2013-02-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130227000398 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
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.
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 08054)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | NJ | 00142 | Anesthesia for lens surgery | 32 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | NC | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | NC | |
| - | MO |
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