Individual provider Active NPI

Michelle M Shroyer, CRNA

  • Certified Registered Nurse Anesthetist
  • Lawrence, KS
National Provider Identifier
1083869796
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201906830CRNA Issued in OR
Practice address
330 Arkansas St
Suite 210
Lawrence, KS 66044-1335
Phone
(785) 842-7026
Fax
(785) 842-7088
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 201906830CRNA OR Primary
Certified Registered Nurse Anesthetist 367500000X 512003 KS

Addresses

Primary practice location

330 Arkansas St
Suite 210
Lawrence, KS 66044-1335

Mailing address

330 Arkansas St
Suite 210
Lawrence, KS 66044-1335
Phone (785) 842-7026

Other practice location 1

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshroyer207167@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090128000462 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335203843 Reassigns benefits to 1 organization
I20191213001797 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335203843 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Hospital & facility affiliations

  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
512003KSMDCertified Registered Nurse Anesthetist
201906830CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Albany General Hospital CurrentSince Oct 25, 2021 Accepting new patients
Albany General Hospital Current Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Oct 25, 2021 Accepting new patients
Brian Tolefree Crna LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 9, 2019 Accepting new patients
Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2021 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Jul 5, 2021 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Oct 25, 2021 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jul 5, 2021 Accepting new patients
Santiam Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Santiam Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Albany General Hospital CurrentSince Oct 25, 2021 Accepting new patients

Locations

1602 W 15th Ave
Ste A
Emporia, KS 66801
Phone (620) 343-7200

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1007 Harlow Rd
Ste 110
Springfield, OR 97477
Phone (541) 726-8882

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175

Interoperability endpoints

  • Direct secure messaging: mshroyer207167@samhealth.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1083869796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS ST",
            "address_2": "SUITE 210",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441335",
            "telephone_number": "785-842-7026",
            "fax_number": "785-842-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS ST",
            "address_2": "SUITE 210",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441335",
            "telephone_number": "785-842-7026",
            "fax_number": "785-842-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201906830CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "512003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshroyer207167@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.