Individual provider Active NPI

Shawna M.W. Vanvalkenburg, RN

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
National Provider Identifier
1487875704
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3229 Issued in SC
Practice address
5 Medical Park Drive
Columbia, SC 29010
Phone
(803) 434-5000
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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 3229 SC Primary

Addresses

Primary practice location

5 Medical Park Drive
Columbia, SC 29010

Mailing address

9 Shady Creek Court
Irmo, SC 29063
Phone (803) 781-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071011000365 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426144189 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians
Atlantic Coast Anesthesia Services PCGroup PAC ID 3971887167, 71 clinicians

Practice addresses (Care Compare)

164 Glenwood Dr
Rock Hill, SC 29732-2865
Phone (803) 325-9010

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as group
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
3229SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
York County Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 4, 2023 Accepting new patients
Palmetto Health Services Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 7, 2018 Accepting new patients
Prisma Health-Midlands CurrentSince Jun 14, 2007 Accepting new patients
Prisma Health-Midlands CurrentSince Jun 14, 2007 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Optimum Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2025 Accepting new patients
Ana Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Low Country Anesthesia, PA CurrentSince Dec 29, 2020 Accepting new patients
Piedmont Physician Network LLC CurrentSince Jun 1, 2024 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2026 Accepting new patients
Mark D. Naquin MD PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4211 Trolley Line Rd
Aiken, SC 29801
Phone (803) 306-7733

103 Gregg Ave NW
Ste 100
Aiken, SC 29801
Phone (803) 226-0799

103 Gregg Ave NW
Aiken, SC 29801
Phone (803) 226-0799

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

40 Okatie Center Blvd S
Ste 125
Okatie, SC 29909
Phone (843) 705-8804

164 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 325-9010

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 11

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1487875704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SHADY CREEK COURT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "29063",
            "telephone_number": "803-781-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29010",
            "telephone_number": "803-434-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVALKENBURG",
        "first_name": "SHAWNA",
        "middle_name": "M.W.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.