MS. SHANNON T WHITE CRNA
NPI 1396791869
Nurse Anesthetist, Certified Registered in Rapid City, SD
About Ms. Shannon T White Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHANNON T WHITE CRNA (NPI 1396791869) is an individual nurse anesthetist, certified registered in Rapid City, South Dakota, licensed in South Dakota (CR000730) and active in the NPI registry since May 2006. She maintains a secondary practice location in Rapid City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Shannon T White Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rapid City, SD 57701
- Reassigned Medicare billing, South Dakota enrollment
- 161 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.
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.
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.
RAPID CITY, SD 57701
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 Shannon White's NPI number?
The NPI number for Shannon White is 1396791869. It was assigned to this individual provider in the NPPES registry on May 26, 2006.
Where is Shannon White located?
Shannon White practices at 353 Fairmont Blvd, Rapid City, SD 57701. The listed phone number is (605) 755-1000.
What is Shannon White's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shannon White enrolled in Medicare?
Yes. Shannon White is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon White reassigns Medicare benefits to Black Hills Surgical Hospital, LLC (Rapid City, SD). The 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 Shannon White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon White accept?
Health plans from Avera Health Plans and Wellmark of South Dakota, Inc. list Shannon White 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 Shannon White was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ms. Shannon T White, CRNA · NPI 1396791869
Nurse Anesthetist, Certified Registered physician in Rapid City, South Dakota. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1396791869 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** CR000730 (South Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 353 FAIRMONT BLVD, Rapid City, SD 57701
- **Phone:** (605) 755-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Black Hills Surgical Hospital, LLC (NPI 1992656706, Rapid City, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2018
- **Other identifiers:** Medicaid 2184701 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1396791869) · Data from the CMS NPPES public registry.