SHANNON M KIDD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1508048737

SHANNON M KIDD (CRNA) is a healthcare provider. based in Cincinnati, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 60137 (WV). The NPI Number for SHANNON M KIDD (CRNA) is 1508048737

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON M KIDD (CRNA)
NPI
1508048737
Phone
(740) 374-4500
Address
2139 AUBURN AVE
Enumeration Date
29 November 2007
Last Update Date
6 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6147638505
Graduation Year
2007 (19 years ago)
PAC ID
5597821330
Group Practice PAC ID
3577902808
Professional Enrollment ID
I20100803000860
Address ID
OH430403570MA500XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for SHANNON M KIDD (CRNA)

  • The Christ Hospital, 2139, Auburn Avenue, Mount Auburn Historic District, Mount Auburn, Cincinnati, Hamilton County, Ohio, 45219, United States

    CINCINNATI, OH 452192906

    Phone: (740) 374-4500

    Fax: (740) 374-5887

    Type: Mailing

  • Marietta Memorial Hospital, 401, Matthew Street, Riverdale, Marietta, Washington County, Ohio, 45750, United States

    MARIETTA, OH 457501635

    Phone: (740) 374-9990

    Fax: (740) 374-9993

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($55).

Total Amount

$99

General + Research + Ownership

Payments

5

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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: 2020-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20090304000052ICertified Registered Nurse Anesthetist (Crna)WVTBD
I20100803000860ICertified Registered Nurse Anesthetist (Crna)OHTBD
I20201112001083ICertified Registered Nurse Anesthetist (Crna)PATBD

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 45219)

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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: 3577902808View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What unique ID ties claims to SHANNON M KIDD (CRNA)?
NPI 1508048737 is assigned to SHANNON M KIDD (CRNA) under the national enumeration system.
Is SHANNON M KIDD (CRNA)'s NPI currently valid?
The extract we use shows SHANNON M KIDD (CRNA) as active.
Can you summarize SHANNON M KIDD (CRNA)'s specialty in plain language?
Clinically, the directory lists SHANNON M KIDD (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does SHANNON M KIDD (CRNA) practice in Ohio?
You will see Cincinnati, Ohio on file for SHANNON M KIDD (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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