TINA MARIE SHORE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1679704373
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TINA MARIE SHORE (CRNA)
Houston Post Office, 123, South Main Street, Houston, Washington County, Pennsylvania, 15342, United States
DEPT#841
HOUSTON, TX 772533945
Phone: (281) 358-8114
Fax: (281) 358-0609
Type: Mailing
Bayshore Medical Center, 4000, Spencer Highway, Pasadena, Harris County, Texas, 77504, United States
PASADENA, TX 775041202
Phone: (713) 359-2000
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: 2018-02-09
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 |
|---|---|---|---|---|
| I20121214000087 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20180209001724 | I | Certified Registered Nurse Anesthetist (Crna) | NC | 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 | 61 | 58 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 29 | 28 | $0 |
Insurance plans in this area (ZIP 77253)
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