MR. SHAWN RUSSELL BOWDOIN CRNA
NPI 1164772190
Nurse Anesthetist, Certified Registered in Lebanon, NH
About Mr. Shawn Russell Bowdoin Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHAWN RUSSELL BOWDOIN CRNA (NPI 1164772190) is an individual nurse anesthetist, certified registered in Lebanon, New Hampshire, licensed in California (87780) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and maintains a secondary practice location in Fpo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Mr. Shawn Russell Bowdoin 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shawn Bowdoin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, NH 03766
- Reassigned Medicare billing, New Hampshire enrollment
- 283 clinicians in this Medicare group
Rutland, VT 05701
- Reassigned Medicare billing, Vermont enrollment
- 63 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rutland Regional Medical Center
Acute Care Hospitals · Rutland, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
LEBANON, NH 03766
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 Shawn Bowdoin's NPI number?
The NPI number for Shawn Bowdoin is 1164772190. It was assigned to this individual provider in the NPPES registry on September 18, 2012.
Where is Shawn Bowdoin located?
Shawn Bowdoin practices at 10 Alice Peck Day Dr, Lebanon, NH 03766. The listed phone number is (603) 448-3121.
What is Shawn Bowdoin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shawn Bowdoin enrolled in Medicare?
Yes. Shawn Bowdoin 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 Shawn Bowdoin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Bowdoin reassigns Medicare benefits to 2 organizations: Alice Peck Day Memorial Hospital (Lebanon, NH) and Rutland Hospital, Inc. (Rutland, VT). 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 Shawn Bowdoin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shawn Bowdoin affiliated with any hospitals?
According to CMS data, Shawn Bowdoin is affiliated with Rutland Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Shawn Bowdoin was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Mr. Shawn Russell Bowdoin, CRNA · NPI 1164772190
Nurse Anesthetist, Certified Registered physician in Lebanon, New Hampshire. Individual provider, active in the CMS NPPES registry since September 18, 2012.
## Identity
- **NPI:** 1164772190 (Entity type: Individual)
- **Enumerated:** September 18, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 87780 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 ALICE PECK DAY DR, Lebanon, NH 03766-2900
- **Phone:** (603) 448-3121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alice Peck Day Memorial Hospital (NPI 1003803495, Lebanon, NH); Rutland Hospital, Inc. (NPI 1295799047, Rutland, VT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 8, 2026
- **Other identifiers:** Other 87780 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1164772190) · Data from the CMS NPPES public registry.