John Paul Shandera, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

101125 Issued in NE

Practice address

115 E 52ND St
Kearney, NE 68847-0502

Phone

(308) 236-5506

Fax

(308) 236-7089

NPI assigned

Apr 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as apm

Quality

82.13

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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.

• Kearney Anesthesia Associates PC

  • Certified Registered Nurse Anesthetist
  • Kearney, NE
  • NPI 1578593752

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lexington Regional Health Center

  • Emergency Medicine Physician
  • Lexington, NE
  • NPI 1316016165

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lexington Regional Health Center

  • Critical Access Hospital
  • Lexington, NE
  • NPI 1467417352
  Medicare reassignment NPD
• North Platte Surgery Center Anesthesia, LLC

  • Anesthesiology Physician
  • North Platte, NE
  • NPI 1780869222

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Rock County Hospital

  • Critical Access Hospital
  • Bassett, NE
  • NPI 1710982194
  Medicare reassignment NPD
• York General Hospital

  • Critical Access Hospital
  • York, NE
  • NPI 1588764898
  Medicare reassignment NPD
• York General Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • York, NE
  • NPI 1982704250

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lexington Regional Health Center

  • Rural Health Clinic/Center
  • Lexington, NE
  • NPI 1144888579
  NPD
• North Platte Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • North Platte, NE
  • NPI 1154316339
  NPD
• York General Hospital

  • Durable Medical Equipment & Medical Supplies
  • York, NE
  • NPI 1851491153
  NPD

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1891012480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1771",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481771",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 52ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688470502",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDERA",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-22",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "63680",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068752615",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Katherine Shafer-Lind, LMSW
• Angela Shafer
• Brylee Shafer
• Kenton L Shaffer, MD
• Robert R Shaffer, M.D.
• Sharon B Bond MD PC
• Linda Kay Shaw
• James D Sheen, D.C.
• Joy Sheets
• Lainey Sheffield

• Certified Registered Nurse Anesthetist in Kearney, NE
• Providers in Kearney, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.