Individual provider Active NPI

Antoinette Accardo Shandling, CRNA

  • Certified Registered Nurse Anesthetist
  • Aspen, CO
National Provider Identifier
1366499956
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
038572 Issued in CO
Practice address
149 Williams Ranch Dr
Aspen, CO 81611-1584
Phone
(970) 920-1639
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 038572 CO Primary

Addresses

Primary practice location

149 Williams Ranch Dr
Aspen, CO 81611-1584

Mailing address

2424 N Wyatt Dr Ste 160
Tucson, AZ 85712-6119
Phone (520) 815-5050

Other practice location 1

2424 N Wyatt Dr Ste 160
Tucson, AZ 85712-6119
Phone (520) 815-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000202 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810997129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Arizona Anesthesia Services PCGroup PAC ID 1850382565, 44 clinicians
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

3390 N Campbell Ave
Suite 110
Tucson, AZ 85719-2380
Phone (520) 795-7650

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

Hospital & facility affiliations

  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038572COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Ambulatory Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2024 Accepting new patients
Ias Arizona PLLC CurrentSince Oct 11, 2023 Accepting new patients
Southern Arizona Anesthesia Services, PC CurrentSince May 15, 2025 Accepting new patients
Crescent City Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia East Inc Past Accepting new patients

Locations

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

3390 N Campbell Ave
Ste 110
Tucson, AZ 85719
Phone (520) 784-2243

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

5240 E Knight Dr
Ste 104
Tucson, AZ 85712
Phone (520) 795-4202

2424 N Wyatt Dr
Ste 160
Tucson, AZ 85712
Phone (520) 784-6500

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 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1366499956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 N WYATT DR STE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126119",
            "telephone_number": "520-815-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 WILLIAMS RANCH DR",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111584",
            "telephone_number": "970-920-1639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 N Wyatt Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126119",
            "country_code": "US",
            "telephone_number": "520-815-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANDLING",
        "first_name": "ANTOINETTE",
        "middle_name": "ACCARDO",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "038572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.