Active NPI
Sheila M Fitzgerald, CRNA
- Certified Registered Nurse Anesthetist
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA-01269
- Practice address
- 405 W Country Club Rd
Roswell, NM 88201-5209 - Phone
- (575) 622-8170
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- 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 | 2017017446 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA-01269 | NM | Primary |
Addresses
Primary practice location
405 W Country Club Rd
Roswell, NM 88201-5209
Mailing address
5301 Faraon St Ste 120
Saint Joseph, MO 64506-3512
Phone (816) 271-1066
Other practice location 1
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15657078 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 W 15TH St
Liberal, KS 67901-2455
315 W 15TH St
Liberal, KS 67901-2455
Phone (620) 624-1651
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Center | Current | Accepting new patients | |
| Southwest Medical Center | Current | Accepting new patients | |
| Southwest Medical Center | Current | Accepting new patients | |
| Clinical Colleagues KS PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients | |
| Mid-Continent Anesthesiology Chartered | Past | Accepting new patients |
Locations
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400
315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651
1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704
Organizations & group practices 6
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.
-
dba Southwest Professional Physicians
- Surgery Physician
- Liberal, KS
- NPI 1144493040
-
- Anesthesiology Physician
- Chanute, KS
- NPI 1548813967
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
KS
-
dba SWMC Diagnostic Imaging
- Diagnostic Radiology Physician
- Liberal, KS
- NPI 1285503078
-
dba Southwest Medical Center Anesthesia
- Anesthesiology Physician
- Liberal, KS
- NPI 1568979557
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1699750273
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Liberal, KS
- NPI 1538109251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1255437323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 FARAON ST STE 120",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063512",
"telephone_number": "816-271-1066",
"fax_number": "816-271-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015209",
"telephone_number": "575-622-8170"
}
],
"practiceLocations": [
{
"address_1": "5325 Faraon St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645063488",
"country_code": "US",
"telephone_number": "816-271-6350",
"fax_number": "816-271-6753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZGERALD",
"first_name": "SHEILA",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2017017446",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA-01269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15657078",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.