Active NPI
Heidi Ackermann Shields, CRNA
- Certified Registered Nurse Anesthetist
- Bedford, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024167689
- Practice address
- 1613 Oakwood St
Bedford, VA 24523-1213 - Phone
- (540) 425-7773
- Fax
- (540) 586-5984
- NPI assigned
- Feb 25, 2008
- Last updated
- Mar 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 0024167689 | VA | Primary |
Addresses
Primary practice location
1613 Oakwood St
Bedford, VA 24523-1213
Mailing address
207 Longhill Rd Ste 808
Goode, VA 24556-2209
Phone (757) 374-7219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 853-0222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167689 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Associates of Radford Inc | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Past | Accepting new patients |
Locations
1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800
1613 Oakwood St
#101
Bedford, VA 24523
Phone (540) 297-7783
2900 Lamb Cir
Ste L223
Christiansburg, VA 24073
Phone (540) 731-1898
2900 Tyler Rd
Christiansburg, VA 24073
Phone (540) 731-7311
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Roanoke, VA
- NPI 1184634156
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Christiansburg, VA
- NPI 1407878465
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Hospitalist Physician
- Lexington, VA
- NPI 1023663002
-
- Critical Access Hospital
- Lexington, VA
- NPI 1518950484
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1750936977
Hospital
-
- Emergency Medicine Physician
- Lexington, VA
- NPI 1942854427
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1538338496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 LONGHILL RD STE 808",
"city": "GOODE",
"state": "VA",
"postal_code": "245562209",
"telephone_number": "757-374-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 OAKWOOD ST",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245231213",
"telephone_number": "540-425-7773",
"fax_number": "540-586-5984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "HEIDI",
"middle_name": "ACKERMANN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024167689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.