Active NPI
Shannen Young
- Certified Registered Nurse Anesthetist
- Morehead City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 143169
- Practice address
- 3500 Arendell St
Morehead City, NC 28557-2901 - Phone
- (252) 499-6000
- NPI assigned
- Mar 13, 2023
- Last updated
- Jun 2, 2023
- 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 | 143169 | MO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
3500 Arendell St
Morehead City, NC 28557-2901
Mailing address
PO Box 2224
Morehead City, NC 28557-2224
Phone (816) 419-2788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 N Oakland Ave
Bolivar, MO 65613-3011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143169 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy St. Francis Hospital | Current | Accepting new patients | |
| Mercy St. Francis Hospital | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Citizens Memorial Hospital District | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Citizens Memorial Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carteret County General Hospital Corporation | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010
100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000
3050 E River Bluff Blvd
Ozark, MO 65721
Phone (417) 820-5610
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
3045 S National Ave
Springfield, MO 65804
Phone (417) 820-5260
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Bolivar, MO
- NPI 1558548818
Nurse Anesthetist, Certified Registered
-
dba Carteret General Hospital
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
-
- Critical Access Hospital
- Mountain View, MO
- NPI 1023053477
-
dba CMH Buffalo Community Pharmacy
- Community/Retail Pharmacy
- Buffalo, MO
- NPI 1427480995
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Medicare Defined Swing Bed Hospital Unit
- Aurora, MO
- NPI 1295878981
-
- Medicare Defined Swing Bed Hospital Unit
- Cassville, MO
- NPI 1154535342
-
- Medicare Defined Swing Bed Hospital Unit
- Mountain View, MO
- NPI 1043357015
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Citizens Memorial Hospital
- General Acute Care Hospital
- Bolivar, MO
- NPI 1003981549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1427759877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2224",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285572224",
"telephone_number": "816-419-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 ARENDELL ST",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285572901",
"telephone_number": "252-499-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SHANNEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "143169",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.