Shawn F Kinross, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

309521-4406 Issued in UT

Practice address

1303 N Main St
Cedar City, UT 84720-9746

Phone

(801) 993-9501

Fax

(801) 733-5872

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in UT, HI2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garfield CountyGroup PAC ID 6305744459, 11 clinicians

Medstream Anesthesia Hawaii LLCGroup PAC ID 6002120599, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028
• Intermountain Health Garfield Memorial Hospital Hospital, Panguitch, UT, CCN 461333

Merit-based Incentive Payment System (MIPS)

Final score

87.53 of 100Reported as group

Quality

89.3

Improvement activities

40

Cost

78.06

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.

• Garfield County

  dba Garfield Hospital Physicians Group

  • Multi-Specialty Clinic/Center
  • Panguitch, UT
  • NPI 1356350219
  Medicare reassignment Care Compare group NPD
• Medstream Anesthesia Hawaii, LLC

  • Anesthesiology Physician
  • Kamuela, HI
  • NPI 1346621190

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Cedar Anesthesia Group LLP

  • Certified Registered Nurse Anesthetist
  • Cedar City, UT
  • NPI 1821176132

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mountain West Anesthesia LLC

  • Anesthesiology Physician
  • Lehi, UT
  • NPI 1558391763
  Medicare reassignment NPD
• Garfield County

  dba Garfield Mobile Cinic

  • Clinic/Center
  • Panguitch, UT
  • NPI 1598200297
  NPD
• William Michael Dancer

  • Certified Registered Nurse Anesthetist
  • Cedar City, UT
  • NPI 1548374184

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Bridgeport Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Bridgeport, CT
  • NPI 1174549257

  Nurse Anesthetist, Certified Registered

  NPD (past)
• John T Goodsell DO PC Gregory Linderer MD LTD

  dba Anesthesia Associates

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1427000413
  NPD (past)

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

• Garfield County

  dba Intermountain Health Garfield Memorial Hospital

  • Critical Access Hospital
  • Panguitch, UT
  • NPI 1508836867
  Care Compare affiliation
• Queens North Hawaii Community Hospital

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1477559029
  Care Compare affiliation

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1679687396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S STACI CT",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201828",
            "telephone_number": "435-586-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209746",
            "telephone_number": "801-993-9501",
            "fax_number": "801-733-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINROSS",
        "first_name": "SHAWN",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "309521-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "100505398",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107021855101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "80053",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "TPRA08339",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2000631",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "200262965SFK",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000072386",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY U",
            "identifier": "20638",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "809586",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Kidman
• Joshua Van Killian, A.P.C.
• John R Killpack, CRNA
• Garrett King
• Kendra M King
• Heather Kirchmeier, R.N.
• Kevin Scott Kirschenmann, LCSW
• Daralee Kjar, NP-C
• Tyce Hill Knudsen
• Chantal Koa, SSW, CASUDC

• Certified Registered Nurse Anesthetist in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.