Rosalie Cacanindin Shepard, CRNAP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024164751 Issued in VA

Practice address

3000 Coliseum Dr
Hampton, VA 23666-5963

Phone

(757) 736-3325

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Rosalie Mae Cacanindin Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Atlantic Anesthesia, IncGroup PAC ID 4587562152, 177 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
• Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

Merit-based Incentive Payment System (MIPS)

Final score

80.76 of 100Reported as group

Quality

78.69

Improvement activities

40

Cost

74.94

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Atlantic Anesthesia, Inc

  • Anesthesiology Physician
  • Virginia Beach, VA
  • NPI 1720181514
  Medicare reassignment Care Compare group NPD
• SMG Anesthesia Specialists LLC

  • Anesthesiology Physician
  • Virginia Beach, VA
  • NPI 1518205004
  Medicare reassignment Care Compare group NPD
• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519

  VA

  Medicare reassignment Care Compare group NPD
• American Anesthesiology Associates of Virginia, Inc

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1528059896
  NPD (past)
• Anesthesia Associates of Richmond, Inc

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1801831656
  NPD (past)
• Evms Academic Physicians and Surgeons Health Services Foundation

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1003887118
  NPD (past)
• James River Anesthesia Assoc., Inc

  • Anesthesiology Physician
  • Newport News, VA
  • NPI 1982632980
  NPD (past)
• Portsmouth Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Portsmouth, VA
  • NPI 1487677845
  NPD (past)
• Virginia Anesthesia and Perioperative Care Specialists LLC

  • Anesthesiology Physician
  • Newport News, VA
  • NPI 1760417281
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sentara Hospitals

  • General Acute Care Hospital
  • Hampton, VA
  • NPI 1336109107
  Care Compare affiliation
• Sentara Princess Anne Hospital

  • General Acute Care Hospital
  • Virginia Beach, VA
  • NPI 1528028396
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1598765463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 CORAL BAY CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552879",
            "telephone_number": "757-581-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10992 San Diego Mission Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921082444",
            "country_code": "US",
            "telephone_number": "619-528-5000",
            "fax_number": "619-528-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Clearfield Ave",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621815",
            "country_code": "US",
            "telephone_number": "757-457-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2075 Glenn Mitchell Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234560179",
            "country_code": "US",
            "telephone_number": "757-507-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "ROSALIE",
        "middle_name": "CACANINDIN",
        "credential": "CRNAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0024164751",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024164751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIE",
            "last_name": "CACANINDIN",
            "middle_name": "MAE",
            "credential": "CRNAP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katilyn Alexis Sheckells, QMHP CSAC SUPERVISEE
• Charles Emerson Shefelton, CTRS
• Taha Muhammad Sheikh, MD
• Jessica M. Shelton, PT, MSPT
• Michael Jesse Shelton, PHARM.D.
• Shift My Wellness LLC
• Yunjeong H Shin
• Theresa L Shipley, OTR/L, CHT
• Michele Leigh Shirley, PHARMD
• Shara Craddock Short

• Certified Registered Nurse Anesthetist in Hampton, VA
• Providers in Hampton, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.