SHANE EVERETT STOCKWELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1346334018
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT
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Provider Addresses for SHANE EVERETT STOCKWELL (CRNA)
Kamran Ridge Cove, South Jordan, Salt Lake County, Utah, 84095, United States
SOUTH JORDAN, UT 840958499
Phone: (304) 982-9556
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 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-05-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $15 |
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: 2023-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130215000485 | I | Certified Registered Nurse Anesthetist (Crna) | UT | TBD |
| I20230706003108 | I | Certified Registered Nurse Anesthetist (Crna) | NV | TBD |
| I20231122003409 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 252 | 244 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 33 | 33 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 17 | 16 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| - | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| - | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT |
Reviews
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