SHANNON BEVILLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053710780
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK
Provider Addresses for SHANNON BEVILLE (CRNA)
6839 S CANTON AVE
TULSA, OK 741363402
Phone: (918) 494-0612
Fax: (918) 481-5170
Type: Mailing
6161 S YALE AVE
TULSA, OK 741361902
Phone: (918) 494-0612
Type: Location
P.O. BOX 845347
DALLAS, TX 752845347
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Mailing
5323 HARRY HINES BLVD
DALLAS, TX 75390
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Location
5323 harry hines blvd
Dallas, TX 75390
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($110).
Total Amount
$110
General + Research + Ownership
Payments
6
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $110 |
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: 2025-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141030000672 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20250206001306 | I | Certified Registered Nurse Anesthetist (Crna) | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 74136)
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