Active NPI
Courtney Shouse, CRNA
- Certified Registered Nurse Anesthetist
- Pascagoula, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 901672
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 280-9555
- NPI assigned
- Nov 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 901672 | MS | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 1-151623 | AL |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581-5301
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singing River Health System
Practice addresses (Care Compare)
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000
Hospital & facility affiliations
- Singing River Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-151623 | AL | MD | Certified Registered Nurse Anesthetist |
| 901672 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Anesthesia | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Singing River Health System | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Champion Anesthesia Consultants, PLLC | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients |
Locations
2451 University Hospital Dr
Mobile, AL 36617
Phone (251) 471-7000
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1922159219
-
- Anesthesiology Physician
- Gulfport, MS
- NPI 1780312504
-
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1740918937
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1629635818
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1487327193
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pascagoula, MS
- NPI 1124136593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1962004481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 90",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535340",
"telephone_number": "228-497-7576",
"fax_number": "228-497-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 DENNY AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815301",
"telephone_number": "228-280-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOUSE",
"first_name": "COURTNEY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "901672",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-151623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.