SHANNON NGUYEN CRNA
NPI 1053890327
Nurse Anesthetist, Certified Registered in Springdale, AR

Active since August 08, 2018Accepts Medicare Assignment
76.04/100
CMS Quality Rating
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764(479) 751-3722(479) 751-1099 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2021, Nov 27, 2018, Aug 8, 2018 (3 updates tracked since 2018).

About Shannon Nguyen Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON NGUYEN CRNA (NPI 1053890327) is an individual nurse anesthetist, certified registered in Springdale, Arkansas, licensed in Arkansas (C003264) and active in the NPI registry since August 2018. She maintains 2 additional practice locations and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053890327
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHANNON NGUYENCredential: CRNA
Location Address601 W MAPLE AVE STE 503Springdale, AR 72764
Mailing Address601 W Maple Ave Ste 503Springdale, AR 72764-5376 · (479) 751-3722 · Fax (479) 751-1099
Fax(479) 751-1099
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 8, 2018
Last NPPES UpdateJune 18, 20213 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1053890327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in AR · C003264✔ Licensed in MO · 2018029466
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
601 W MAPLE AVE STE 503, Springdale, AR 72764

Secondary Practice Locations 2

Location 11102 W 32nd StJoplin, MO 64804-3594 · Phone (417) 347-1111
Location 22710 S Rife Medical LnRogers, AR 72758-1452 · Phone (479) 338-8000 · Fax (479) 338-3056

Other Identifiers 3

Other5DN38AR · Bcbs Arkansas
Medicaid910060005MO
Medicaid231408001AR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Nguyen Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597016568
PECOS Enrollment IDI20181213000331

Medicare Billing Reassignments

6

Medicare enrollment records show Shannon Nguyen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3271 N WIMBERLY DR
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 15 clinicians in this Medicare group
Anesthesiology
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 185 clinicians in this Medicare group
Anesthesiology
3721 S CHAMPIONS DR
Rogers, AR 72758
  • Reassigned Medicare billing, Arkansas enrollment
  • 18 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
10912 OLD FASHION DR
Bentonville, AR 72713
  • Reassigned Medicare billing, Arkansas enrollment
  • 11 clinicians in this Medicare group
Anesthesiology
7301 ROGERS AVE
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 168 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
New Iberia, LA 70563
  • Reassigned Medicare billing, Arkansas enrollment
  • 232 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
20 services18 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.08
Improvement Activities40
Cost40.15

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
601 W MAPLE AVE STE 503
SPRINGDALE, AR 72764
Nurse Anesthetist, Certified Registered
601 W MAPLE AVE STE 503
SPRINGDALE, AR 72764
Nurse Anesthetist, Certified Registered
601 W MAPLE AVE STE 503
SPRINGDALE, AR 72764
Nurse Anesthetist, Certified Registered
601 W MAPLE AVE STE 503
SPRINGDALE, AR 72764
Nurse Anesthetist, Certified Registered
601 W MAPLE AVE STE 503
SPRINGDALE, AR 72764
Nurse Anesthetist, Certified Registered
601 W MAPLE AVE STE 503
SPRINGDALE, AR 72764
Nurse Anesthetist, Certified Registered
601 W MAPLE AVE STE 503
SPRINGDALE, AR 72764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Nguyen's NPI number?

The NPI number for Shannon Nguyen is 1053890327. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Shannon Nguyen located?

Shannon Nguyen practices at 601 W Maple Ave Ste 503, Springdale, AR 72764. The listed phone number is (479) 751-3722.

What is Shannon Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shannon Nguyen enrolled in Medicare?

Yes. Shannon Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shannon Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Nguyen reassigns Medicare benefits to 6 organizations: Ambulatory Anesthesia Associates PLLC (Fayetteville, AR), Premier Anesthesia Of Arkansas Professional Corporation (Fayetteville, AR), Pinnacle Anesthesia Group, PLLC (Rogers, AR), Healing Springs Anesthesia, PLLC (Bentonville, AR), Renew Medical Group Of Arkansas Ltd (Fort Smith, AR) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Nguyen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Shannon Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Nguyen was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.