Active NPI
Shawn P. Ross, CRNA
- Certified Registered Nurse Anesthetist
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11718
- Practice address
- 1801 N Jackson St
Tullahoma, TN 37388-2201 - Phone
- (931) 393-7933
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN0000152627 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 11718 | TN | Primary |
Addresses
Primary practice location
1801 N Jackson St
Tullahoma, TN 37388-2201
Mailing address
744 W Michigan Ave
Jackson, MI 49201-1909
Phone (800) 242-1131
Other practice location 1
1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 541-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070618000404 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4486610417 | Reassigns benefits to 5 organizations |
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
- Resource Anesthesia, P.C.Covenant Anesthesia Group PC
Practice addresses (Care Compare)
105 N Meadows Dr
Athens, TN 37303-4172
Phone (423) 649-3300
1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 331-1111
9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 835-3560
Hospital & facility affiliations
- Parkwest Medical Center
- Fort Sanders Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11718 | TN | MD | Anesthesiology Physician |
| RN0000152627 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Anesthesia Group, PC | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tennessee Valley Anesthesia PLLC | Current | Accepting new patients | |
| Sarasota Anesthesiologists, PA | Past | Accepting new patients | |
| Highland Rim Anesthesia, P.C. | Past | Accepting new patients |
Locations
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
105 N Meadows Dr
Athens, TN 37303
Phone (423) 649-3300
5751 Uptain Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 855-8406
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
1819 Clinch Ave
Ste 206
Knoxville, TN 37916
Phone (865) 522-2949
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
9430 Park West Blvd
Ste 210
Knoxville, TN 37923
Phone (865) 531-0494
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
210 Fort Sanders West Blvd
Ste 200
Knoxville, TN 37922
Phone (865) 531-5222
Dept 888089
Knoxville, TN 37995
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137
1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered, TN
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, TN
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tullahoma, TN
- NPI 1073554960
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1710917976
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1194748673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011909",
"telephone_number": "800-242-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882201",
"telephone_number": "931-393-7933"
}
],
"practiceLocations": [
{
"address_1": "1901 Clinch Ave",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379162307",
"country_code": "US",
"telephone_number": "865-541-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "SHAWN",
"middle_name": "P.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN0000152627",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "11718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.