Individual provider Active NPI

Enitan Adebayo Shiji, FNP-BC, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
National Provider Identifier
1255094587
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1054626 Issued in TX
Practice address
8801 S 101St East Ave
Tulsa, OK 74133-5716
Phone
(214) 545-2308
NPI assigned
Oct 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1054626 TX
Certified Registered Nurse Anesthetist 367500000X 1054626 TX Primary
Certified Registered Nurse Anesthetist 367500000X 223402 OK

Addresses

Primary practice location

8801 S 101St East Ave
Tulsa, OK 74133-5716

Mailing address

3507 Walnut Ridge Dr
Midlothian, TX 76065-5378
Phone (214) 545-2308

Other identifiers 2

IdentifierTypeStateIssuer
1054626OtherTXTEXAS BOARD OF NURSING (APRN) LICENSE
223402OtherOKOKLAHOMA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103002331 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901396597 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noble Anesthesia Partners PLLCGroup PAC ID 9234303165, 44 clinicians
Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians

Practice addresses (Care Compare)

280 Regency Pkwy
Mansfield, TX 76063-7823
Phone (855) 677-8669

3201 W State Hwy 22
Corsicana, TX 75110-2450
Phone (903) 654-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
223402OKMDCertified Registered Nurse Anesthetist
1054626TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Anesthesia Partners, PLLC CurrentSince Jan 30, 2026 Accepting new patients
NTX Anesthesiology Consultants PLLC CurrentSince Feb 1, 2026 Accepting new patients
Lake Granbury Hospital-Based Professional Services Nurse Practitioner CurrentSince Oct 17, 2025 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

6611 River Place Blvd
Ste 202
Austin, TX 78730
Phone (512) 473-8300

2010 W Katherine P Raines Rd
Ste 100
Cleburne, TX 76033
Phone (817) 645-0811

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

7789 Southwest Fwy
Ste 200
Houston, TX 77074
Phone (713) 343-3100

252 Matlock Rd
Fl 4
Mansfield, TX 76063
Phone (817) 242-3600

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

Organizations & group practices 4

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 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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1255094587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 WALNUT RIDGE DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655378",
            "telephone_number": "214-545-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 S 101ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335716",
            "telephone_number": "214-545-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIJI",
        "first_name": "ENITAN",
        "middle_name": "ADEBAYO",
        "credential": "FNP-BC, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054626",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1054626",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "223402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING (APRN) LICENSE",
            "identifier": "1054626",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BOARD OF NURSING",
            "identifier": "223402",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.