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TIMOTHY L SHAW CRNA
NPI 1124092002
Nurse Anesthetist, Certified Registered in Eagle River, AK

Active since February 15, 2006
11055 OWHAT CIR, EAGLE RIVER, AK 99577(907) 227-9592 Get Directions Write a Review

NPPES record last updated: May 25, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy L Shaw Crna NPPES

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

TIMOTHY L SHAW CRNA (NPI 1124092002) is an individual nurse anesthetist, certified registered in Eagle River, Alaska, licensed in Alaska (26580) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1124092002
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY L SHAWCredential: CRNA
Location Address11055 OWHAT CIREagle River, AK 99577-8226
Mailing Address11055 Owhat CirEagle River, AK 99577-8226 · (907) 227-9592
Phone(907) 227-9592
Sole ProprietorYes
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMay 25, 2010
✔ NPI 1124092002 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 AK · 26580
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.
11055 OWHAT CIR, Eagle River, AK 99577
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy L Shaw Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Timothy Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alpine Anesthesia LLC
13 mi
Anesthesiology
3831 PIPER STREET, SUITE S-110
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 22 clinicians in this Medicare group
NPI 1750600995 (907) 575-3992

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 3

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 procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
23 services22 patients
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300
Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
14 services13 patients
Anesthesia for other procedure on nose and sinuses 00160
Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.
13 services13 patients

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 Timothy Shaw's NPI number?

The NPI number for Timothy Shaw is 1124092002. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Timothy Shaw located?

Timothy Shaw practices at 11055 Owhat Cir, Eagle River, AK 99577. The listed phone number is (907) 227-9592.

What is Timothy Shaw's specialty?

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

Is Timothy Shaw enrolled in Medicare?

Yes. Timothy Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Shaw reassigns Medicare benefits to Alpine Anesthesia LLC (Anchorage, AK). The 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 Timothy Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Shaw accept?

Health plans from Moda Health Plan, Inc. list Timothy Shaw 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 Timothy Shaw was last updated on May 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.