Shannon Wyn Mayo, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024164254 Issued in VA

Practice address

44045 Riverside Pkwy
Leesburg, VA 20176-5101

Phone

(703) 858-6000

Fax

(571) 209-6465

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stonesprings Anesthesia Associates LTDGroup PAC ID 8921300971, 28 clinicians

Inova Cares - CommunityGroup PAC ID 9537526330, 187 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
• Stonesprings Hospital Center Hospital, Dulles, VA, CCN 490145

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Inova Cares - Community

  • Anesthesiology Physician
  • Fairfax, VA
  • NPI 1861131906

  DC

  Medicare reassignment Care Compare group NPD
• Stonesprings Anesthesia Associates, LTD

  • Anesthesiology Physician
  • Dulles, VA
  • NPI 1255718235
  Medicare reassignment Care Compare group NPD
• American Anesthesiology of Virginia PC

  • Anesthesiology Physician
  • Falls Church, VA
  • NPI 1417994872
  Medicare reassignment NPD
• Reston Anesthesia Associates, PC

  • Anesthesiology Physician
  • Reston, VA
  • NPI 1932210093

  DC

  Medicare reassignment NPD
• American Anesthesiology of Virginia, PC

  • Anesthesiology Physician
  • Leesburg, VA
  • NPI 1053675199
  NPD
• Loudoun Anesthesia Associates

  • Anesthesiology Physician
  • Potomac Falls, VA
  • NPI 1629017645
  NPD (past)

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

• Inova Health Care Services

  • Psychiatric Hospital Unit
  • Leesburg, VA
  • NPI 1285786228
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Leesburg, VA
  • NPI 1376564302
  Care Compare affiliation
• Northern Virginia Community Hospital LLC

  • General Acute Care Hospital
  • Dulles, VA
  • NPI 1972904738
  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1093748543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-0705",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 RIVERSIDE PKWY",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765101",
            "telephone_number": "703-858-6000",
            "fax_number": "571-209-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "SHANNON",
        "middle_name": "WYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024164254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Marie Matteson, LCSW-C, LCSW
• Mauricio Garcia, DDS, PLLC
• Kristin Logan May, CRNA
• Gregory C. Mayo, D.D.S.
• Ryan C Mayo, D.D.S.
• Stephen J Mayo, D.D.S.
• Michelle Mays, MA, LPC, CSAT
• Marlene Mayweathers, NP
• Gibson E Mazurkiewicz, LPC
• Karen Ann Mazzara, MS, LPC

• Certified Registered Nurse Anesthetist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.