Individual provider Active NPI

Sheila M Fitzgerald, CRNA

  • Certified Registered Nurse Anesthetist
  • Roswell, NM
National Provider Identifier
1255437323
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA-01269 Issued in NM
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

Updated by the provider on Feb 22, 2023

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 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

IdentifierTypeStateIssuer
15657078MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061003000713 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062417629 Reassigns benefits to 3 organizations
I20131109000351 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062417629

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
Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Southwest Medical Center CurrentSince Jun 6, 2025 Accepting new patients
Southwest Medical Center Current Accepting new patients
Southwest Medical Center CurrentSince Jun 6, 2025 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2024 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Mar 1, 2024 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.

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": "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.

Verify at the official NPI Registry.