Individual provider Active NPI

Shannon Butler, CRNA

  • Certified Registered Nurse Anesthetist
  • Carson City, NV
National Provider Identifier
1649159187
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
894460 Issued in NV
Practice address
1600 Medical Pkwy
Carson City, NV 89703-4625
Phone
(775) 445-8000
NPI assigned
Aug 28, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 282962 AZ
Certified Registered Nurse Anesthetist 367500000X 894460 NV Primary
Registered Nurse 163W00000X 95266900 CA
Registered Nurse 163W00000X RN89109 NV

Addresses

Primary practice location

1600 Medical Pkwy
Carson City, NV 89703-4625

Mailing address

304 Desert Lily CT
Reno, NV 89521-6357
Phone (925) 963-1577

Other practice location 1

655 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 770-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251110000535 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547750390 Reassigns benefits to 2 organizations
I20260121001272 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547750390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Physician Hospital Organization, LLCGroup PAC ID 8628465721, 30 clinicians
Anesthesia Services of San Joaquin PCGroup PAC ID 4082754056, 75 clinicians
Digestive Health AssociatesGroup PAC ID 0547247082, 38 clinicians

Practice addresses (Care Compare)

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

655 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 829-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
282962AZMDRegistered Nurse
95266900CAMDRegistered Nurse
RN89109NVMDRegistered Nurse
894460NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Hospital Organization, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Digestive Health Associates CurrentSince Nov 1, 2025 Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Mar 1, 2026 Accepting new patients
Butler Nurse Anesthesia Services, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2025 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

655 Sierra Rose Dr
Reno, NV 89511
Phone (775) 829-7600

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1649159187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 DESERT LILY CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216357",
            "telephone_number": "925-963-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625",
            "telephone_number": "775-445-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Sierra Rose Dr",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895112060",
            "country_code": "US",
            "telephone_number": "775-770-2705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "SHANNON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "282962",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "894460",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95266900",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN89109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.