Active NPI
Kristen M Shakour, CRNA
- Certified Registered Nurse Anesthetist
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN312748
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-3777
- NPI assigned
- Dec 16, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN312748 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714
Phone (216) 383-6614
Other practice location 1
36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 350-0832
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3020500 | Medicaid | OH | |
| P00839056 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN312748 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Lake Erie Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Hospitals Regional Practices LLC | Past | Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
8185 Washington St
Ste 6
Chagrin Falls, OH 44023
Phone (440) 708-0582
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050
24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
34055 Solon Rd
Ste 212
Solon, OH 44139
Phone (440) 914-7220
1611 S Green Rd
Ste 120
South Euclid, OH 44121
Phone (440) 708-0582
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Interoperability endpoints
- kshakour33116@ehrdirect.uhhospitals.org
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Certified Registered Nurse Anesthetist
- Chagrin Falls, OH
- NPI 1265927594
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, OH
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1336602218
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1518296870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "3RD FLOOR",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "216-383-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-3777"
}
],
"practiceLocations": [
{
"address_1": "36000 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Willoughby",
"state": "OH",
"postal_code": "440944625",
"country_code": "US",
"telephone_number": "440-350-0832",
"fax_number": "440-579-0191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAKOUR",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-16",
"last_updated": "2020-11-23",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN312748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3020500",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00839056",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.