KRISTEN M SHAKOUR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1518296870

KRISTEN M SHAKOUR (CRNA) is a healthcare provider. based in Willoughby, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN312748 (OH). The NPI Number for KRISTEN M SHAKOUR (CRNA) is 1518296870

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN M SHAKOUR (CRNA)
NPI
1518296870
Phone
(440) 350-0832
Address
36000 Euclid Ave
Enumeration Date
16 December 2009
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
5193860963
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20100304000130
Address ID
OH441061716CL11100AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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

Provider Addresses for KRISTEN M SHAKOUR (CRNA)

  • 36000 Euclid Ave

    Willoughby, OH 440944625

    Phone: (440) 350-0832

    Fax: (440) 579-0191

    Type: Location

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone: (216) 383-6614

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-3777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-04

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
I20100304000130ICertified Registered Nurse Anesthetist (Crna)OHTBD

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 44094)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

What federal number belongs to KRISTEN M SHAKOUR (CRNA)?
The federal identifier for KRISTEN M SHAKOUR (CRNA) is NPI 1518296870.
Is KRISTEN M SHAKOUR (CRNA) active in the national directory?
KRISTEN M SHAKOUR (CRNA)'s public NPI profile is in an active state.
What does KRISTEN M SHAKOUR (CRNA) treat or focus on?
Patients typically see KRISTEN M SHAKOUR (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTEN M SHAKOUR (CRNA)?
The page summarizes Willoughby, Ohio for KRISTEN M SHAKOUR (CRNA); expand the address list for detail.
Is KRISTEN M SHAKOUR (CRNA) a real provider?
This page reflects official NPPES data for NPI 1518296870. Always confirm identity and privileges with the practice and licensing boards.

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