Shannon Marie Tewes, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3007287 Issued in KY

Practice address

150 N Eagle Creek Dr
Lexington, KY 40509-1805

Phone

(859) 967-5000

NPI assigned

Nov 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Kentucky Anesthesia P.S.C.Group PAC ID 4880508712, 60 clinicians

Mid-South Anesthesia, PLLCGroup PAC ID 3173779188, 11 clinicians

Practice addresses (Care Compare)

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.

• Central Kentucky Anesthesia PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1518083161
  Medicare reassignment Care Compare group NPD
• Mid-South Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
  • NPI 1487929121

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1902991169

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Apex Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Paducah, KY
  • NPI 1902373772

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Commonwealth Anesthesia, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1437196300

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Danville Anesthesia Associates, LLP

  • Anesthesiology Physician
  • Danville, KY
  • NPI 1821038696

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Resource Anesthesia Cumberland Valley Inc

  • Certified Registered Nurse Anesthetist
  • Corbin, KY
  • NPI 1780930743

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Central Kentucky Anesthesia P.S.C.

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
  • NPI 1851474159

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1902173065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091805",
            "telephone_number": "859-967-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWES",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062978",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "611077369001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100186320",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201127240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Terry
• Samantha Terry, PA
• Stephanie Price Tesar, NP
• Testing Partners Inc.
• Charles R Teter, APRN
• Jason E Tewmey, PA
• Elishadie Tezera, DMD
• Dirk B Thacker, MD
• Hannah Paige Thacker, PHARMD
• Jeremy Wayne Thacker, M.D.

• Certified Registered Nurse Anesthetist in Lexington, KY
• Providers in Lexington, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.