Active NPI
Donald W Shinskie, CRNA
- Certified Registered Nurse Anesthetist
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 901620
- Practice address
- 3017 13TH St
Gulfport, MS 39501-1833 - Phone
- (228) 831-0050
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 170203 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 2206 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0001160419 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | APN0000011680 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN279123L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 901620 | MS | Primary |
Addresses
Primary practice location
3017 13TH St
Gulfport, MS 39501-1833
Mailing address
435 Thomas St
Bay St Louis, MS 39520-2019
Phone (910) 389-1260
Other practice location 1
947 Chadwick Shores Dr
Sneads Ferry, NC 28460-9213
Phone (910) 327-0579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 Riverside Dr
Suite 117
Chattanooga, TN 37406-4332
Phone (423) 648-0576
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2206 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 11680 | TN | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 901620 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 170203 | NC | MD | Certified Registered Nurse Anesthetist |
| RN279123L | PA | MD | Certified Registered Nurse Anesthetist |
| APN0000011680 | TN | MD | Certified Registered Nurse Anesthetist |
| 0001160419 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Pender Memorial Hospital Incorporated | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg Chattanooga Anesthesia LLC | Current | Accepting new patients | |
| Uap Chattanooga Pain, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Onslow Memorial Hospital Inc | Past | Accepting new patients | |
| Chattanooga Endoscopy ASC LLC | Past | Accepting new patients |
Locations
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1501 Riverside Dr
Ste 117
Chattanooga, TN 37406
Phone (423) 648-0576
1016 Executive Dr
Hixson, TN 37343
Phone (423) 414-2770
1016 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 648-4525
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1841586922
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1053444901
-
- Certified Registered Nurse Anesthetist
- Hixson, TN
- NPI 1679834998
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
-
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
- NPI 1447223938
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1689700676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 THOMAS ST",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395202019",
"telephone_number": "910-389-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395011833",
"telephone_number": "228-831-0050"
}
],
"practiceLocations": [
{
"address_1": "947 Chadwick Shores Dr",
"address_purpose": "LOCATION",
"city": "Sneads Ferry",
"state": "NC",
"postal_code": "284609213",
"country_code": "US",
"telephone_number": "910-327-0579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHINSKIE",
"first_name": "DONALD",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "170203",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2206",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0001160419",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000011680",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN279123L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "901620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.