MICHAEL SHANE BREWTON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1598790719

MICHAEL SHANE BREWTON (CRNA) is a healthcare provider. based in Nacogdoches, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 701994 (TX). The NPI Number for MICHAEL SHANE BREWTON (CRNA) is 1598790719

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SHANE BREWTON (CRNA)
NPI
1598790719
Phone
(936) 569-9443
Address
4800 NE STALLINGS DR
Enumeration Date
12 July 2006
Last Update Date
13 January 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7854627511
Graduation Year
2008 (18 years ago)
PAC ID
2860482759
Group Practice PAC ID
8729996467
Professional Enrollment ID
I20240321003734
Address ID
KS677013799CO100XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for MICHAEL SHANE BREWTON (CRNA)

  • The Professional Building, 4800, Northeast Stallings Drive, Nacogdoches, Nacogdoches County, Texas, 75965, United States

    SUITE110

    NACOGDOCHES, TX 759651249

    Phone: (936) 569-9443

    Fax: (936) 560-5667

    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)

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: 2025-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20090226000500ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20240222003340ICertified Registered Nurse Anesthetist (Crna)AZTBD
I20240321003734ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20241011003031ICertified Registered Nurse Anesthetist (Crna)NDTBD
I20250902001112ICertified Registered Nurse Anesthetist (Crna)IDTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1212$0
View full utilization report →

Insurance plans in this area (ZIP 75965)

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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: 8729996467View full group profile
NameSpecialtyState
Family PracticeMO
Family PracticeKS
Family PracticeKS
P O D I A T R YNE
Nurse PractitionerKS
Clinical Social WorkerKS
Family Practice, Obstetrics/GynecologyKS
Family PracticeKS
Family PracticeKS
Family PracticeKS

Reviews

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Frequently asked questions

Does MICHAEL SHANE BREWTON (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL SHANE BREWTON (CRNA) uses 1598790719.
Is MICHAEL SHANE BREWTON (CRNA) still practicing?
MICHAEL SHANE BREWTON (CRNA) is currently listed as active in the public NPI registry.
What healthcare role does MICHAEL SHANE BREWTON (CRNA) hold?
Scheduling teams often label MICHAEL SHANE BREWTON (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does MICHAEL SHANE BREWTON (CRNA) serve?
MICHAEL SHANE BREWTON (CRNA)'s listing highlights Nacogdoches, Texas; more addresses can appear in NPPES.
Is the information about MICHAEL SHANE BREWTON (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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