Active NPI
Jane Shaw, CRNA
- Certified Registered Nurse Anesthetist
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704157839
- Practice address
- 1234 Napier Ave
Saint Joseph, MI 49085-2112 - Phone
- (334) 279-1450
- Fax
- (334) 279-1660
- NPI assigned
- May 17, 2019
- 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 | 4704157839 | MI | Primary |
Addresses
Primary practice location
1234 Napier Ave
Saint Joseph, MI 49085-2112
Mailing address
PO Box 633020
Cincinnati, OH 45263-3020
Phone (334) 279-1450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Northern Indiana Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allied Physicians Surgery Center, LLC | Past | Accepting new patients |
Locations
53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
1234 Napier Ave
#32
Saint Joseph, MI 49085
Phone (269) 428-0118
Organizations & group practices 6
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 Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Certified Registered Nurse Anesthetist
- South Bend, IN
- NPI 1033891510
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- South Bend, IN
- NPI 1669032942
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- Anesthesiology Physician
- Saint Joseph, MI
- NPI 1598305641
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- South Bend, IN
- NPI 1386721249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1972169688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633020",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452633020",
"telephone_number": "334-279-1450",
"fax_number": "334-279-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 NAPIER AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852112",
"telephone_number": "334-279-1450",
"fax_number": "334-279-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JANE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704157839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.