Individual provider Active NPI

Shiela Kaye Chua Crisostomo

  • Certified Registered Nurse Anesthetist
  • Norfolk, VA
National Provider Identifier
1710587712
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NP0253 Issued in GU
Practice address
3916 Gosnold Ave
Norfolk, VA 23508-2916
Phone
(813) 992-8029
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN04773 RI
Certified Registered Nurse Anesthetist 367500000X NP0253 GU Primary
Certified Registered Nurse Anesthetist 367500000X 0024180700 VA

Addresses

Primary practice location

3916 Gosnold Ave
Norfolk, VA 23508-2916

Mailing address

3916 Gosnold Ave
Norfolk, VA 23508-2916
Phone (813) 992-8029

Other practice location 1

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

Other practice location 2

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, RI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210517000789 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466861760 Reassigns benefits to 3 organizations
I20230620000840 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466861760 Reassigns benefits to 1 organization
I20251120003806 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466861760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Narragansett Bay Anesthesia LLCGroup PAC ID 5991774929, 95 clinicians

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.1 of 100Reported as group
Quality
100
Promoting interoperability
0
Improvement activities
30
Cost
79.51

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC CurrentSince Sep 12, 2022 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Dec 15, 2022 Accepting new patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Narragansett Bay Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 3, 2025 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

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 and National Provider Directory roles.

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1710587712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 GOSNOLD AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082916",
            "telephone_number": "813-992-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 GOSNOLD AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082916",
            "telephone_number": "813-992-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kenyon Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794216",
            "country_code": "US",
            "telephone_number": "401-782-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "SHIELA KAYE",
        "middle_name": "CHUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "APRN04773",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GU",
            "license": "NP0253",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024180700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.