SARAH ELIZABETH SHIN (RN) – Certified Registered Nurse Anesthetist, NPI 1164064671

SARAH ELIZABETH SHIN (RN) is a healthcare provider. based in Fort worth, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 1032821 (TX). The NPI Number for SARAH ELIZABETH SHIN (RN) is 1164064671

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ELIZABETH SHIN (RN)
NPI
1164064671
Phone
(817) 531-4406
Address
1201 WESLEYAN ST
Enumeration Date
16 October 2019
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173362100
Graduation Year
2012 (14 years ago)
PAC ID
2163839812
Group Practice PAC ID
0042630501
Professional Enrollment ID
I20210325001657
Address ID
TX761043902FO900XXAVEX300

Contacts

Secure Messaging
sshin33655@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for SARAH ELIZABETH SHIN (RN)

  • 1201, Wesleyan Street, Fort Worth, Tarrant County, Texas, 76105, United States

    FORT WORTH, TX 761051536

    Phone: (817) 531-4406

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($195).

Total Amount

$195

General + Research + Ownership

Payments

2

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2021-03-25

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
I20210325001657ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00320Anesthesia for other procedure on neck area (1 year or older)1918$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1514$0
View full utilization report →

Insurance plans in this area (ZIP 76105)

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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: 0042630501View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

What identifier follows SARAH ELIZABETH SHIN (RN) across health systems?
The NPI 1164064671 uniquely identifies SARAH ELIZABETH SHIN (RN) in U.S. healthcare data.
Quick check: is SARAH ELIZABETH SHIN (RN) active?
Public NPPES data shows SARAH ELIZABETH SHIN (RN) with an active NPI status right now.
How should patients interpret SARAH ELIZABETH SHIN (RN)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for SARAH ELIZABETH SHIN (RN). Clinical services aligned with this taxonomy classification.
Is SARAH ELIZABETH SHIN (RN) tied to Fort Worth, Texas?
If you are local to Fort Worth, Texas, SARAH ELIZABETH SHIN (RN) may be relevant to your search.
Why is information missing for SARAH ELIZABETH SHIN (RN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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