SCOTT SHEPHERD CRNA
NPI 1265475388
Nurse Anesthetist, Certified Registered in Fayetteville, AR

Active since June 14, 2006Accepts Medicare Assignment
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703(918) 664-9892(918) 664-2521 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Scott Shepherd Crna NPPES

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

SCOTT SHEPHERD CRNA (NPI 1265475388) is an individual nurse anesthetist, certified registered in Fayetteville, Arkansas, licensed in Arkansas (C01510) and active in the NPI registry since June 2006. He is a graduate of Other (2004).

NPPES Registry Identity

NPI1265475388
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSCOTT SHEPHERDCredential: CRNA
Location Address3215 N NORTHHILLS BLVDFayetteville, AR 72703-4424
Mailing Address4500 S Garnett Rd, Ste 300Tulsa, OK 74146-5229 · (918) 664-9892 · Fax (918) 664-2521
Fax(918) 664-2521
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 10, 2012
NPI 1265475388 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 AR · C01510
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.

3215 N NORTHHILLS BLVD, Fayetteville, AR 72703

Other Identifiers 6

Medicare PIN5Y308AR
Medicaid157034001AR
Medicare PIN500299333
Medicare PIN5Y308C129AR
Other771003601AR · Arkansas Breastcare
Medicaid200051950AOK

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

Scott Shepherd 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 ID2264473834
PECOS Enrollment IDI20050513000758

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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.

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%416 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Anesthesiology
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Anesthesiology
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Anesthesiology
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Anesthesiology
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Anesthesiology
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Nurse Anesthetist, Certified Registered
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Psychiatry & Neurology (Geriatric Psychiatry)
3215 N NORTHHILLS BLVD, WASHINGTON REGIONAL PSYCHIATRIC CLINIC
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265475388, enumerated as an "individual" on June 14, 2006.

The provider is located at 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 and the phone number is (918) 664-9892.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.