LYEA DORAE SHINE
NPI 1396346870
Nurse Anesthetist, Certified Registered in Pleasant Hope, MO

Active since November 03, 2020Accepts Medicare Assignment
502 MCCURRY ST, PLEASANT HOPE, MO 65725(904) 254-3686 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2021, Nov 3, 2020 (2 updates tracked since 2020).

About Lyea Dorae Shine NPPES

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

LYEA DORAE SHINE (NPI 1396346870) is an individual nurse anesthetist, certified registered in Pleasant Hope, Missouri, licensed in New York (811313) and active in the NPI registry since November 2020. She is affiliated with University Hospital S U N Y Health Science Center and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396346870
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLYEA DORAE SHINE
Location Address502 MCCURRY STPleasant Hope, MO 65725-9231
Mailing AddressPo Box 68Fayetteville, NY 13066-0068 · (904) 254-3686
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 3, 2020
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
NPI 1396346870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NY · 811313
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 2014029095 (MO)
502 MCCURRY ST, Pleasant Hope, MO 65725

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

Lyea Dorae Shine 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 ID3577963750
PECOS Enrollment IDI20210609001582

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for exam of colon using an endoscope

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

This service was performed 19 times for 19 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 22 times for 22 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 29 times for 29 patients

Anesthesia for procedure on small and large bowel using an endoscope

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

This service was performed 15 times for 15 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.49 for a new patient copayment and $16.42 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 65725 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $121.96
  • Minimum New Patient Price $52.28
  • Maximum New Patient Price $161.24
  • Average New Patient Copayment $30.49
  • Minimum New Patient Copayment $13.07
  • Maximum New Patient Copayment $40.31

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $65.71
  • Minimum Established Patient Price $16.3
  • Maximum Established Patient Price $131.05
  • Average Established Patient Copayment $16.42
  • Minimum Established Patient Copayment $4.07
  • Maximum Established Patient Copayment $32.76

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lyea Shine is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER750 EAST ADAMS STREET
SYRACUSE, NY 13210
(315) 473-4240Acute Care Hospitals

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396346870, enumerated as an "individual" on November 03, 2020.

The provider is located at 502 MCCURRY ST PLEASANT HOPE, MO 65725 and the phone number is (904) 254-3686.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Lyea Shine is affiliated with: UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER.