Individual provider Active NPI

Shannon Lea McDermott, CRNA

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
National Provider Identifier
1700516432
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7638 Issued in NC
Practice address
9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone
(843) 572-1228
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26185 SC
Certified Registered Nurse Anesthetist 367500000X 7638 NC Primary

Addresses

Primary practice location

9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112

Mailing address

9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone (843) 572-1228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NM, OR, NC, WA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220713003199 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921489527 Reassigns benefits to 2 organizations
I20230309001617 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921489527 Reassigns benefits to 2 organizations
I20250204002804 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921489527 Reassigns benefits to 1 organization
I20250417000000 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921489527 Reassigns benefits to 1 organization
I20260219004247 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921489527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians
Amsurg Santa Fe Anesthesia LLCGroup PAC ID 7315210846, 4 clinicians
Olympic Anesthesia Services, IncGroup PAC ID 4587551064, 38 clinicians

Practice addresses (Care Compare)

10501 Golf Course Rd NW
Lovelace Westside Hospital
Albuquerque, NM 87114-5019
Phone (505) 727-2000

117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

1630 Hospital Dr
Suite a
Santa Fe, NM 87505-4772
Phone (505) 988-3373

1800 NW Myhre Rd
Michael Medical Ctr
Silverdale, WA 98383-7663
Phone (360) 744-6770

4701 Montgomery Blvd NE
Lovelace Women'S Hospital
Albuquerque, NM 87109-1219
Phone (505) 727-7800

601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Anesthesia Associates, LLC CurrentSince Jul 18, 2022 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Aug 30, 2023 Accepting new patients
Santiam Memorial Hospital CurrentSince Dec 28, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Apr 7, 2025 Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Trident Anesthesia Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Olympic Anesthesia Services, Inc CurrentSince Mar 1, 2026 Accepting new patients
Amsurg Santa Fe Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Santiam Memorial Hospital CurrentSince Dec 28, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2025 Accepting new patients

Locations

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

1630 Hospital Dr
Ste A
Santa Fe, NM 87505
Phone (505) 982-5014

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175

423 Barony St
Moncks Corner, SC 29461

9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228

9263 Medical Plaza Dr
Ste E
North Charleston, SC 29406
Phone (843) 572-1228

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

130 Edge St
Summerville, SC 29486
Phone (843) 628-5816

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

990 Sylvan Way
Bremerton, WA 98310
Phone (360) 479-3654

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1700516432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 MEDICAL PLAZA DR STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294067112",
            "telephone_number": "843-572-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 MEDICAL PLAZA DR STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294067112",
            "telephone_number": "843-572-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "SHANNON",
        "middle_name": "LEA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "26185",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "7638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.