SHANNON CORBETT GLENN CRNA
NPI 1063751055
Nurse Anesthetist, Certified Registered in Savannah, GA

Q: What is Shannon Glenn's NPI number?

The NPI number for Shannon Glenn is 1063751055. It was assigned to this individual provider in the NPPES registry on February 11, 2013.

Q: What is Shannon Glenn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Glenn was last updated on January 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 11, 2013Accepts Medicare Assignment

11705 MERCY BLVD, SAVANNAH, GA 31419(912) 819-4100 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2023, Oct 24, 2022 (2 updates tracked since 2022).

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About Shannon Corbett Glenn Crna NPPES

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

SHANNON CORBETT GLENN CRNA (NPI 1063751055) is an individual nurse anesthetist, certified registered in Savannah, Georgia, licensed in Georgia (RN152340) and active in the NPI registry since February 2013. She is affiliated with St Joseph's Hospital - Savannah, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063751055

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSHANNON CORBETT GLENNCredential: CRNA

Location Address11705 MERCY BLVDSavannah, GA 31419-1711

Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (954) 839-2569

Phone(912) 819-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 11, 2013

Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2023

✔ NPI 1063751055 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

License✔ Licensed in GA · RN152340

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.

11705 MERCY BLVD, Savannah, GA 31419

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Secondary Practice Locations 2

Location 15353 Reynolds StSavannah, GA 31405-6015 · Phone (912) 819-6000

Location 21000 Medical Center BlvdLawrenceville, GA 30046-0000 · Phone (678) 514-1991 · Fax (678) 514-1992

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Corbett Glenn 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 ID4486809761

PECOS Enrollment IDI20130313000309

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110043

Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31419 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

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Other Providers at the Same Location NPPES 20

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

CLAUDIA GRIFFIN PA-C

Physician Assistant (Medical)