Individual provider Active NPI

Shannon J Woznick, CRNA

  • Certified Registered Nurse Anesthetist
  • Springdale, AR
National Provider Identifier
1912187568
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
219596 Issued in AR
Practice address
609 W Maple Ave
Springdale, AR 72764-5335
Phone
(479) 751-5711
Fax
(479) 751-1099
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 219596 AR Primary

Addresses

Primary practice location

609 W Maple Ave
Springdale, AR 72764-5335

Mailing address

601 W Maple Ave Ste 503
Springdale, AR 72764-5376
Phone (479) 751-3722

Other identifiers 9

IdentifierTypeStateIssuer
2104400OtherPAHIGHMARK
3713583000OtherPAIBC
11971038OtherPACAQH
1585281OtherPAGATEWAY
50085971OtherPACAPITAL ADVANTAGE
127186OtherPAGEISINGER
9720452OtherPAAETNA
1020670570002MedicaidPA
2104400OtherPAFIRST PRIORITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO, MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170421001345 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305927104 Reassigns benefits to 2 organizations
I20200610002628 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305927104 Reassigns benefits to 7 organizations
I20260408002683 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305927104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (651) 262-7633

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219596ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Mar 14, 2017 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 22, 2020 Accepting new patients
Novamed Surgery Center of Colorado Springs LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 7, 2020 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Jun 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia of the Rocky Mountains, LLC CurrentSince Jun 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 15, 2019 Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Jun 1, 2021 Accepting new patients
St. Vincent General Hospital District CurrentSince Oct 1, 2021 Accepting new patients
St. Vincent General Hospital District CurrentSince Oct 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. PastSince Jul 3, 2022 Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1699 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 387-2144

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

3920 N Union Blvd
Ste 240
Colorado Springs, CO 80907
Phone (719) 227-9711

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

3535 S Lafayette St
Ste 200
Englewood, CO 80113
Phone (303) 761-5555

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

861189 Reliable Pkwy
Chicago, IL 60686

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1912187568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE STE 503",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645376",
            "telephone_number": "479-751-3722",
            "fax_number": "479-751-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-751-5711",
            "fax_number": "479-751-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNICK",
        "first_name": "SHANNON",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "219596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2104400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3713583000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11971038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1585281",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL ADVANTAGE",
            "identifier": "50085971",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "127186",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9720452",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020670570002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "2104400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.