Individual provider Active NPI

Sharrod Reynard Greene, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Portsmouth, VA
National Provider Identifier
1962994756
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024176254 Issued in VA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone
(757) 953-5008
NPI assigned
Jun 6, 2018
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D177329 IA
Certified Registered Nurse Anesthetist 367500000X 0024176254 VA Primary
Registered Nurse 163W00000X 0001267770 VA
Registered Nurse 163W00000X RN9351506 FL

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

3239 Granby St
Norfolk, VA 23504-1417
Phone (573) 356-8211

Other practice location 1

3000 Coliseum Dr
Hampton, VA 23666-5963
Phone (757) 736-1000

Other practice location 2

1316 S Main St
Clarion, IA 50525-2019
Phone (844) 474-4321

Other practice location 3

403 1st St SE
Belmond, IA 50421-1201
Phone (844) 474-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, IA, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181001003146 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456602408 Reassigns benefits to 3 organizations
I20221203000256 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456602408 Reassigns benefits to 4 organizations
I20240525000363 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456602408 Reassigns benefits to 6 organizations
I20250307000213 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456602408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

1031 Loftis Blvd
Newport News, VA 23606-2981
Phone (757) 736-9898

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 934-4000

300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-6265

417 S E St
Corydon, IA 50060-1860

417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9351506FLMDRegistered Nurse
0001267770VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Apr 1, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Sioux Valley Memorial Hospital Association Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Center for Visual Surgical Excellence, LLC CurrentSince Sep 1, 2020 Accepting new patients
East West Anesthesia LLC CurrentSince Dec 1, 2022 Accepting new patients
Sunbelt Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Sioux Valley Memorial Hospital Association Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2024 Accepting new patients
Novus Illinois Service Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Jun 11, 2024 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Apr 1, 2021 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2023 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Oct 15, 2018 Accepting new patients
Eastern Virginia Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital CurrentSince Jun 11, 2024 Accepting new patients
Virginia Gastroenterology Institute PC CurrentSince Jun 28, 2020 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Jan 1, 2017 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

1855 Eastwest Pkwy
Fleming Isle, FL 32003

8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

300 Riverside Dr
Ste 100
Bourbonnais, IL 60914

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

400 10th St E
Waconia, MN 55387

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

208 Carmichael Way
Chesapeake, VA 23322
Phone (757) 892-4265

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

3910 Bridge Rd
Ste 101
Suffolk, VA 23435
Phone (757) 942-2566

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Interoperability endpoints

  • Direct secure messaging: sgreene1111153@direct.unitypoint.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1962994756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041417",
            "telephone_number": "573-356-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Coliseum Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236665963",
            "country_code": "US",
            "telephone_number": "757-736-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252019",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SHARROD",
        "middle_name": "REYNARD",
        "name_prefix": "Mr.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D177329",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024176254",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001267770",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9351506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.