Stetler Ladd Shumway, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

9124570-8901 Issued in UT

Practice address

380 W 100 N
Monticello, UT 84535

Phone

(435) 587-2116

NPI assigned

Jun 16, 2021

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, CO, TX3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of South Carolina School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novus Colorado Professional CorporationGroup PAC ID 0840694774, 12 clinicians

Tuba City Regional Health Care CorporationGroup PAC ID 4284542531, 160 clinicians

San Juan County HospitalGroup PAC ID 4486541851, shared by 5 NPIs, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novus Colorado Professional Corporation

  • Anesthesiology Physician
  • Cortez, CO
  • NPI 1437723640

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Tuba City Regional Health Care Corporation

  dba Tuba City Indian Medical Center

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  TX

  Medicare reassignment Care Compare group NPD
• Amsurg St George Anesthesia, LLC

  • Anesthesiology Physician
  • St George, UT
  • NPI 1730452814
  Medicare reassignment NPD
• San Juan County Hospital

  dba San Juan Clinic

  • Rural Health Clinic/Center
  • Monticello, UT
  • NPI 1659315877
  Medicare reassignment NPD
• San Juan County Hospital

  • Critical Access Hospital
  • Monticello, UT
  • NPI 1942251459
  Medicare reassignment NPD
• Upper San Juan Health Service District

  dba Pagosa Springs Medical Center

  • Critical Access Hospital
  • Pagosa Springs, CO
  • NPI 1245401561
  Medicare reassignment NPD
• Upper San Juan Health Service District

  dba Pagosa Springs Medical Center

  • Critical Access Hospital
  • Pagosa Springs, CO
  • NPI 1659523058
  Medicare reassignment NPD
• Animas Anesthesia Associates LLC

  • Anesthesiology Physician
  • Durango, CO
  • NPI 1104148642
  Medicare reassignment
• San Juan County Hospital

  dba San Juan Health

  • Emergency Care Clinic/Center
  • Monticello, UT
  • NPI 1114121100
  NPD
• San Juan County Hospital

  dba Spanish Valley Clinic

  • Rural Health Clinic/Center
  • Spanish Valley, UT
  • NPI 1588978738
  NPD
• Tuba City Regional Health Care Corporation

  dba Dinnebito Health Clinic

  • Family Medicine Physician
  • Kykotsmovi, AZ
  • NPI 1396921870
  NPD
• Tuba City Regional Health Care Corporation

  dba Bodaway Gap Clinic

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest Health System Inc

  dba Southwest Memorial Hospital

  • Critical Access Hospital
  • Cortez, CO
  • NPI 1649241571
  Care Compare affiliation
• Southwest Health System, Inc.

  dba Southwest Memorial Ambulance

  • Land Ambulance
  • Cortez, CO
  • NPI 1679058184

  Hospital

  Care Compare affiliation
• Southwest Health System, Inc.

  dba Southwest Memorial Ambulance

  • Non-emergency Medical Transport (VAN)
  • Cortez, CO
  • NPI 1992328074

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1902474893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N BLUE MOUNTAIN RD",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845112012",
            "telephone_number": "435-459-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W 100 N",
            "city": "MONTICELLO",
            "state": "UT",
            "postal_code": "84535",
            "telephone_number": "435-587-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 S Pagosa Blvd",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811478329",
            "country_code": "US",
            "telephone_number": "970-731-3700",
            "fax_number": "970-731-3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "STETLER",
        "middle_name": "LADD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "C-APN.0102249-C-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "9124570-8901",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "247971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Juan County Hospital (San Juan Healthcare Services)
• San Juan County Hospital
• San Juan Dental
• San Juan Pharmacy Monticello Inc. (Main Street Drug & Boutique)
• San Juan Public Health
• Julee Dawn Slade, RN
• Jane Sparks, APRN
• Andrew Stevens, DO
• Taylor G Wright, PC (Innovation Medical Group)
• Utah Navajo Health System, Incorporated (San Juan Family Dental)

• Certified Registered Nurse Anesthetist in Monticello, UT
• Providers in Monticello, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.