Individual provider Active NPI

Shawn Russell Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Abilene, TX
National Provider Identifier
1083612428
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP113809 Issued in TX
Practice address
1900 Pine St
Abilene, TX 79601-2432
Phone
(325) 676-0577
Fax
(325) 672-9869
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP113809 TX Primary

Addresses

Primary practice location

1900 Pine St
Abilene, TX 79601-2432

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220

Other identifiers 1

IdentifierTypeStateIssuer
171072501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000284 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406808609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Anesthesia NetworkGroup PAC ID 3274521281, 99 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

6250 US Hwy 83
Abilene, TX 79606-5215
Phone (325) 428-1010

751 N
18TH
Abilene, TX 79601
Phone (915) 676-0557

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
43.93 of 100Reported as group
Quality
34.03
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Anesthesia Network CurrentSince Feb 10, 2005 Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

6399 Directors Pkwy
Ste 100
Abilene, TX 79606
Phone (325) 794-5450

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1083612428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4220",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012432",
            "telephone_number": "325-676-0577",
            "fax_number": "325-672-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHAWN",
        "middle_name": "RUSSELL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP113809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171072501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.