Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. TINA NANNETTE SHANNON CRNA
NPI 1265435556
Nurse Anesthetist, Certified Registered in West Columbia, SC

Active since May 31, 2005
90.11/100
CMS Quality Rating
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 935-8538 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, May 22, 2026, Apr 17, 2024 (3 updates tracked since 2024).

About Mrs. Tina Nannette Shannon Crna NPPES

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

MRS. TINA NANNETTE SHANNON CRNA (NPI 1265435556) is an individual nurse anesthetist, certified registered in West Columbia, South Carolina, licensed in South Carolina (31865) and active in the NPI registry since May 2005. She is affiliated with Charleston Area Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265435556
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. TINA NANNETTE SHANNONCredential: CRNA
Location Address2720 SUNSET BLVDWest Columbia, SC 29169-4810
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 935-8538
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1265435556 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 SC · 31865 Licensed in WV · 54626
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.

2720 SUNSET BLVD, West Columbia, SC 29169

Other Names 1

Former Name (1)Tina Nannette Caldwell Crna

Secondary Practice Locations 2

Location 13200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5503
Location 22000 Mon Health Medical Park Dr Ste 2001Morgantown, WV 26505-1167 · Phone (304) 720-8816 · Fax (904) 494-6467

Other Identifiers 6

Other27005299700WV · Worker's Comp-maac
Medicaid2624413OH
Other270052997WV · Tax Id -maac
Medicaid2601300000WV
OtherP00258571WV · Medicare
Other001713630WV · Bcbs-maac

Accepted Insurance

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

Mrs. Tina Nannette Shannon 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 ID840194791
PECOS Enrollment IDI20031121000549

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Radiology (Diagnostic Radiology)
2720 SUNSET BLVD, RADIOLOGY DEPARTMENT
WEST COLUMBIA, SC 29169
Radiology (Diagnostic Radiology)
2720 SUNSET BLVD, RADIOLOGY DEPARTMENT
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Registered Nurse
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Registered Nurse
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169

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 Tina Shannon's NPI number?

The NPI number for Tina Shannon is 1265435556. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Tina Shannon located?

Tina Shannon practices at 2720 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 935-8538.

What is Tina Shannon's specialty?

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

Is Tina Shannon enrolled in Medicare?

Yes. Tina Shannon 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.

What insurance does Tina Shannon accept?

Health plans from CareSource list Tina Shannon 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.

Is Tina Shannon affiliated with any hospitals?

According to CMS data, Tina Shannon is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Tina Shannon was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.