Shane D Garner, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ripon, WI
NPI 1457612640 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1457612640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 171073030 (WI)
- Practice address
- 846 Windsor Rd
Ripon, WI 54971-2608 - Phone
- (262) 352-4521
- NPI assigned
- Jun 4, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Divine Savior Healthcare Inc
Agnesian Healthcare Inc
Anesthesia Services of the Fox Valley SC
Practice addresses (Care Compare)
2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131
360 S Mountin Dr
Mayville, WI 53050-1498
Phone (920) 387-2111
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 923-7400
430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 929-2300
4648 W Spencer St
Appleton, WI 54914-9106
Phone (920) 731-7557
608 W Brown St
Waupun, WI 53963-1702
Phone (920) 324-6800
620 W Brown St
Waupun, WI 53963-1702
Phone (920) 324-6531
835 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101
845 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101
Hospital & facility affiliations
- Waupun Memorial Hospital
- Ripon Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121011000912 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9133378839 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171073030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garner Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Agnesian Healthcare Inc | Current |
Accepting new patients | |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current |
Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
277 N Altenhofen Dr
Grand Chute, WI 54913
Phone (920) 212-3609
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
501 Doctors Ct
Oshkosh, WI 54901
Phone (608) 829-7777
845 Parkside St
Ripon, WI 54971
Phone (920) 748-3101
933 Newbury St
Ripon, WI 54971
Phone (920) 748-0430
620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 171073030 | WI | Yes |
Addresses
Primary practice location
846 Windsor Rd
Ripon, WI 54971-2608
Mailing address
846 Windsor Rd
Ripon, WI 54971-2608
Phone (262) 352-4521
Other practice location 1
845 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgarner332242@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Ripon, WI
- Kelsey Fenske
- Kelly Jo Field
- Bradley E. Foss
- Fox Valley Hematology & Oncology, S.C.
- Daniel B Garcia
- Richard J Gauthier
- Gazzz Group SC
- Jason E Geiger
- Priscilla V George
- Glenn F Devries
All providers in Ripon, WI · Certified Registered Nurse Anesthetist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.