Shane Everett Stockwell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3086781-4406 Issued in UT

Practice address

3495 W Kamran Ridge CV
South Jordan, UT 84095-8499

Phone

(304) 982-9556

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, NV, AZ3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Anesthesia, LLCGroup PAC ID 4486993862, 12 clinicians

Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.31 of 100Reported as group

Quality

74.88

Improvement activities

0

Cost

73.76

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Utah Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Sandy, UT
  • NPI 1235626417

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Greater Anesthesia Solutions

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1124430244

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Red Rock Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1235660002
  Medicare reassignment Care Compare group NPD
• Eye Surg of Utah, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Draper, UT
  • NPI 1629069281
  Medicare reassignment NPD
• Mountain View Anesthesia LC

  • Anesthesiology Physician
  • Orem, UT
  • NPI 1043249840
  Medicare reassignment NPD
• NPH Anesthesia of Utah, LLC

  • Anesthesiology Physician
  • Ogden, UT
  • NPI 1366077273
  Medicare reassignment NPD
• Amin, Dunckelmeyer and Luu PLLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1093410045
  Medicare reassignment NPD
• Cardiac Anesthesia Plus, Inc.

  • Anesthesiology Physician
  • Huntington, WV
  • NPI 1336247949
  NPD (past)
• Lubbock County Hospital District

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1821087164
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1346334018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 W KAMRAN RIDGE CV",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958499",
            "telephone_number": "304-982-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 W KAMRAN RIDGE CV",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958499",
            "telephone_number": "304-982-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "SHANE",
        "middle_name": "EVERETT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "64006",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "3086781-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal M Stewart, CMHC
• Stillwater Academy
• Cameron Stocking
• Everett Jackson Stockwell, D.C.
• Joseph Ross Stockwell, D.C.
• Stonehaven Dental - South Jordan, LLC
• Stonehenge of South Jordan LLC
• Jared A Stong, PHARM.D.
• Jennifer Storrer
• Aaron Stout, LCSW

• Certified Registered Nurse Anesthetist in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.