Individual provider Active NPI

Cheryl Shadden, CRNA

  • Certified Registered Nurse Anesthetist
  • Altus, OK
National Provider Identifier
1659377927
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0082426 Issued in OK
Practice address
1200 E Pecan St
Altus, OK 73521-6141
Phone
(580) 482-4781
Fax
(580) 481-2345
NPI assigned
Jun 22, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R0082426 OK Primary

Addresses

Primary practice location

1200 E Pecan St
Altus, OK 73521-6141

Mailing address

PO Box 8190
Altus, OK 73522-8190
Phone (580) 482-4781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000067 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688621881 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

1717 Paluxy Rd
Granbury, TX 76048-5667
Phone (817) 579-8863

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0082426OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Anesthesia Group, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Noble Anesthesia Partners, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Anesthesiology Consultants of North Texas PA Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2008 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2017 Accepting new patients
Jackson County Memorial Hospital Authority PastSince Dec 31, 2008 Accepting new patients
Texas Anesthesia Partners, PLLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients

Locations

16415 Addison Rd
Addison, TX 75001
Phone (214) 414-3806

17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

411 Central Park Dr
Arlington, TX 76014
Phone (817) 784-8300

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

6311 Southwest Blvd
Benbrook, TX 76132
Phone (817) 731-9400

2010 W Katherine P Raines Rd
Ste 100
Cleburne, TX 76033
Phone (817) 645-0811

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

252 Matlock Rd
Fl 4
Mansfield, TX 76063
Phone (817) 242-3600

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659377927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8190",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735228190",
            "telephone_number": "580-482-4781",
            "fax_number": "580-481-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E PECAN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216141",
            "telephone_number": "580-482-4781",
            "fax_number": "580-481-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADDEN",
        "first_name": "CHERYL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0082426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.