Individual provider Active NPI

Kristi Ann Shrewsbury, CRNA

  • Certified Registered Nurse Anesthetist
  • Beckley, WV
National Provider Identifier
1093962367
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54481 Issued in WV
Practice address
1710 Harper Road
Beckley, WV 25801
Phone
(304) 256-4100
Fax
(954) 858-0116
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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 054481 WV
Certified Registered Nurse Anesthetist 367500000X 54481 WV Primary

Addresses

Primary practice location

1710 Harper Road
Beckley, WV 25801

Mailing address

1613 N. Harrison Parkway Suite 200
Mailstop SH-9a
Sunrise, FL 33323-2896
Phone (800) 437-2672

Other names 1

  • Kristi Ann Culicerto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, NC, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20091021000855 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799822888 Reassigns benefits to 2 organizations
I20200217002263 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799822888 Reassigns benefits to 1 organization
I20200325003446 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799822888 Reassigns benefits to 1 organization
I20240826000920 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799822888 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
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

6801 Gov GC Peery Hwy
Richlands, VA 24641-2194
Phone (276) 596-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054481WVMDCertified Registered Nurse Anesthetist
54481WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2014 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2015 Accepting new patients
Sheridan Healthcare of West Virginia Inc Nurse Anesthetist, Certified Registered PastSince May 21, 2023 Accepting new patients

Locations

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

1 Hospital Dr
Petersburg, WV 26847
Phone (304) 257-2556

Organizations & group practices 3

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1093962367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N. HARRISON PARKWAY SUITE 200",
            "address_2": "MAILSTOP SH-9A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "800-437-2672",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER ROAD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-256-4100",
            "fax_number": "954-858-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREWSBURY",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "054481",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "54481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "CULICERTO",
            "middle_name": "ANN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.