MISS TAYLOR KATHRYN SHANNON CRNA
NPI 1407333552
Nurse Anesthetist, Certified Registered in Flagstaff, AZ

Active since July 22, 2018PECOS EnrolledAccepts Medicare Assignment
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 779-3366 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2025, Jun 7, 2023, Sep 29, 2020 and 2 more (5 updates tracked since 2018).

About Miss Taylor Kathryn Shannon Crna NPPES

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

MISS TAYLOR KATHRYN SHANNON CRNA (NPI 1407333552) is an individual nurse anesthetist, certified registered in Flagstaff, Arizona, licensed in Arizona (319403) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407333552
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMISS TAYLOR KATHRYN SHANNONCredential: CRNA
Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118
Mailing Address960 Massachusetts Avenue, Fl 2Boston, Ma 02119, MA 02118-2690
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 22, 2018
Last NPPES UpdateFebruary 5, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1407333552 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 AZ · 319403✔ Licensed in MA · RN2301626
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.
1200 N BEAVER ST, Flagstaff, AZ 86001

Secondary Practice Location 1

Location 11 Boston Medical Ctr PlBoston, MA 02118-2908 · Phone (617) 638-6950 · Fax (617) 638-6966

Other Identifiers 2

Medicaid110164287AMA
Medicaid3125777NH

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

Miss Taylor Kathryn 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 ID2163848334
PECOS Enrollment IDI20250204001721
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 552 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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001

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 Taylor Shannon's NPI number?

The NPI number for Taylor Shannon is 1407333552. It was assigned to this individual provider in the NPPES registry on July 22, 2018.

Where is Taylor Shannon located?

Taylor Shannon practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 779-3366.

What is Taylor Shannon's specialty?

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

Is Taylor Shannon enrolled in Medicare?

Yes. Taylor 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.

Which organization bills Medicare for Taylor Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Shannon reassigns Medicare benefits to Northern Arizona Healthcare Corporation (Flagstaff, AZ). 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 Taylor Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taylor Shannon accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Taylor 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.

When was this NPI record last updated?

The NPPES record for Taylor Shannon was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.