Shirley Chan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

630105 Issued in NY

Practice address

1201 Nott St
Schenectady, NY 12308-2589

Phone

(518) 374-3123

NPI assigned

Nov 17, 2022

Last updated

Nov 17, 2022By the provider in NPPES

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 NY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Albany Medical College of Union University, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schenectady Anesthesia Associates, P.C.Group PAC ID 5294628087, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ellis Hospital Hospital, Schenectady, NY, CCN 330153

Merit-based Incentive Payment System (MIPS)

Final score

43.71 of 100Reported as group

Quality

30.53

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61246
• FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD

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.

• Schenectady Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Schenectady, NY
  • NPI 1457352411

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gastrointestinal Care of Long Island PLLC

  dba Allied Digestive Health Medical Group of New York

  • Gastroenterology Physician
  • Massapequa, NY
  • NPI 1265571863
  Medicare reassignment NPD
• Albany Gastroenterology Consultants PLLC

  • Gastroenterology Physician
  • Albany, NY
  • NPI 1376816199
  NPD (past)
• Nyc Medical of Queens PC

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1144854811
  NPD (past)

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

• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  Care Compare affiliation

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1215646351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST STE 106",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-374-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SHIRLEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "630105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore John Cerniglia I, M.S., LMHC
• Sarah E. Cerone, M.A., CCC-SLP
• Paisley Anne Cerro, RPHD
• Certified Allergy Consultants, PC
• Alison Faith Chamberlin, OT
• Wayne Elroy Chan, NP
• Anshu Chandra, O.D.
• Shelly M Chank, NP
• Gilles Chapados, MD
• Charles F. Juracka

• Certified Registered Nurse Anesthetist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.