SHANE EVERETT STOCKWELL CRNA
NPI 1346334018
Nurse Anesthetist, Certified Registered in South Jordan, UT

Active since October 03, 2006Accepts Medicare Assignment
3495 W KAMRAN RIDGE CV, SOUTH JORDAN, UT 84095(304) 982-9556 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shane Everett Stockwell Crna NPPES

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

SHANE EVERETT STOCKWELL CRNA (NPI 1346334018) is an individual nurse anesthetist, certified registered in South Jordan, Utah, licensed in Utah (3086781-4406) and active in the NPI registry since October 2006. He is a graduate of Other (2006).

NPPES Registry Identity

NPI1346334018
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSHANE EVERETT STOCKWELLCredential: CRNA
Location Address3495 W KAMRAN RIDGE CVSouth Jordan, UT 84095-8499
Mailing Address3495 W Kamran Ridge CvSouth Jordan, UT 84095-8499 · (304) 982-9556
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 10, 2013
✔ NPI 1346334018 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 UT · 3086781-4406✔ Licensed in WV · 64006
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.
3495 W KAMRAN RIDGE CV, South Jordan, UT 84095

Accepted Insurance

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

Shane Everett Stockwell 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 ID1658473699
PECOS Enrollment IDI20130215000485, I20230706003108, I20231122003409

Medicare Billing Reassignments

7

Medicare enrollment records show Shane Stockwell reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmologic Surgery
11820 SOUTH STATE STREET, 150
Draper, UT 84020
  • Reassigned Medicare billing, Utah enrollment
  • 4 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1393 E SEGO LILY DR STE 3
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 20 clinicians in this Medicare group
Anesthesiology
750 W 800 N, TIMPANOGOS REGIONAL HOSPITAL
Orem, UT 84057
  • Reassigned Medicare billing, Utah enrollment
  • 73 clinicians in this Medicare group
Anesthesiology
5475 S 500 E
Ogden, UT 84405
  • Reassigned Medicare billing, Utah enrollment
  • 164 clinicians in this Medicare group
Anesthesiology
6900 N DURANGO DR
Las Vegas, NV 89149
  • Reassigned Medicare billing, Nevada enrollment
  • 123 clinicians in this Medicare group
Anesthesiology
304 S JONES BLVD # 884
Las Vegas, NV 89107
  • Reassigned Medicare billing, Nevada enrollment
  • 182 clinicians in this Medicare group
Anesthesiology
10720 W INDIAN SCHOOL RD STE 19-1039
Phoenix, AZ 85037
  • Reassigned Medicare billing, Arizona enrollment
  • 423 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.

Areas of Expertise CMS Part B claims

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
182 services159 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Shane Stockwell's NPI number?

The NPI number for Shane Stockwell is 1346334018. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Shane Stockwell located?

Shane Stockwell practices at 3495 W Kamran Ridge Cv, South Jordan, UT 84095. The listed phone number is (304) 982-9556.

What is Shane Stockwell's specialty?

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

Is Shane Stockwell enrolled in Medicare?

Yes. Shane Stockwell 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 Shane Stockwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Stockwell reassigns Medicare benefits to 7 organizations: Eye Surg Of Utah, LLC (Draper, UT), Utah Anesthesia, LLC (Sandy, UT), Mountain View Anesthesia Lc (Orem, UT), Nph Anesthesia Of Utah, LLC (Ogden, UT), Amin, Dunckelmeyer And Luu PLLC (Las Vegas, NV) and 2 more organizations, listed in the Medicare section above. 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 Shane Stockwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Stockwell accept?

Health plans from Blue Cross Blue Shield of Arizona and Select Health list Shane Stockwell 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 Shane Stockwell was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.