Jacqueline Ann Sheehan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2009018972 Issued in MO

Practice address

70 SW 100TH Rd
Warrensburg, MO 64093-8140

Phone

(660) 422-2646

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians

Eye Care LLCGroup PAC ID 4385544600, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.sheehancrna.p1@direct.dvc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Care, LLC

  • Ophthalmology Physician
  • Harrisonville, MO
  • NPI 1609066034
  Medicare reassignment Care Compare group NPD
• Excel Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
  • NPI 1366559130

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Digestive Health Specialists, LLC

  • Gastroenterology Physician
  • Independence, MO
  • NPI 1801286844
  Medicare reassignment NPD
• Eye Care LLC

  • Ophthalmology Physician
  • Independence, MO
  • NPI 1750374567
  NPD
• Eye Care, LLC

  • Optometrist
  • Raymore, MO
  • NPI 1023597127
  NPD
• Care for Kids of Arizona

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mesa, AZ
  • NPI 1689715799
  NPD (past)
• Dynamos Anesthesia Services LLC

  • Anesthesiology Physician
  • Leavenworth, KS
  • NPI 1639719180

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Squaw Peak Anesthesia Inc

  • Registered Nurse
  • Tempe, AZ
  • NPI 1134352925
  NPD (past)
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1003999855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SW 100TH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640938140",
            "telephone_number": "660-422-2646",
            "fax_number": "520-533-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SW 100TH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640938140",
            "telephone_number": "660-422-2646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 Winrow Ave",
            "address_2": "USA MEDDAC RWBAHC",
            "address_purpose": "LOCATION",
            "city": "Ft Huachuca",
            "state": "AZ",
            "postal_code": "85613",
            "country_code": "US",
            "telephone_number": "520-533-4960",
            "fax_number": "520-533-9147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2009018972",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "91104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbygail Rose Gibson Schutt, M.S. CF-SLP
• Kristena Jordan Scott, CRNA
• Serc Rehabilitation Partners, LLC
• George Ramey Sesser, PSY.D.
• Marcie Shea, M.D.
• Bryan M Shepherd
• Jayson Daniel Shepherd, MS, ATC, LAT
• Sheridan Healthcare of Missouri, Inc.
• Cathy Jean Sherrer, FNP
• Alexis Erin Shields, LCSW

• Certified Registered Nurse Anesthetist in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.