Individual provider Active NPI

Shawn Patrick Regan, CRNA

  • Certified Registered Nurse Anesthetist
  • Glendive, MT
National Provider Identifier
1083870042
Registry record updated Feb 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
56474 Issued in MT
Practice address
202 Prospect Dr
Glendive, MT 59330-1943
Phone
(406) 345-3306
NPI assigned
Jul 30, 2008
Last updated
Feb 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2014

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 CRNA0580 AZ
Certified Registered Nurse Anesthetist 367500000X 56474 MT Primary

Addresses

Primary practice location

202 Prospect Dr
Glendive, MT 59330-1943

Mailing address

202 Prospect Dr
Glendive, MT 59330-1943
Phone (406) 345-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090206000391 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587729587 Reassigns benefits to 2 organizations
I20181005001997 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587729587 Reassigns benefits to 2 organizations
I20240829003583 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587729587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Practice addresses (Care Compare)

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
69.6
Promoting interoperability
100
Improvement activities
40
Cost
76.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56474MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Sep 1, 2024 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2020 Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Jul 11, 2018 Accepting new patients
Sda Services of Ca CurrentSince Sep 1, 2022 Accepting new patients
Ias Arizona PLLC CurrentSince Sep 20, 2023 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC Past Accepting new patients
Albert Arredondo Anesthesia PLLC Past Accepting new patients
Anesthesia Medical Professionals, PC Past Accepting new patients

Locations

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

Dept LA 25339
Pasadena, CA 91185

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

Organizations & group practices 9

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

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391817600000",
    "number": "1083870042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PROSPECT DR",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301943",
            "telephone_number": "406-345-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROSPECT DR",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301943",
            "telephone_number": "406-345-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "SHAWN",
        "middle_name": "PATRICK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2014-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0580",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "56474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendive, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2014; 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.