Active NPI
Shannon J Woznick, CRNA
- Certified Registered Nurse Anesthetist
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 219596
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104400 | Other | PA | HIGHMARK |
| 3713583000 | Other | PA | IBC |
| 11971038 | Other | PA | CAQH |
| 1585281 | Other | PA | GATEWAY |
| 50085971 | Other | PA | CAPITAL ADVANTAGE |
| 127186 | Other | PA | GEISINGER |
| 9720452 | Other | PA | AETNA |
| 1020670570002 | Medicaid | PA | |
| 2104400 | Other | PA | FIRST PRIORITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CO, MN
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 219596 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| CPR Anesthesia, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novamed Surgery Center of Colorado Springs LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia of the Rocky Mountains, LLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| St. Vincent General Hospital District | Current | Accepting new patients | |
| St. Vincent General Hospital District | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | 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. | Past | 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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Anesthesiology Physician
- Colorado Springs, CO
- NPI 1245547850
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1326436353
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Colorado Springs, CO
- NPI 1750794681
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Primary Care Clinic/Center
- Leadville, CO
- NPI 1497710958
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1487285383
Hospital & facility affiliations 30
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
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.