SHANNON LACEY STATEN CRNA
NPI 1437421773
Nurse Anesthetist, Certified Registered in Vidalia, GA
About Shannon Lacey Staten Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON LACEY STATEN CRNA (NPI 1437421773) is an individual nurse anesthetist, certified registered in Vidalia, Georgia, licensed in Georgia (RN188967) and active in the NPI registry since February 2012. She is affiliated with Memorial Health Meadows Hospital and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Shannon Lacey Staten 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Staten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vidalia, GA 30474
- Reassigned Medicare billing, Georgia enrollment
- 127 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Health Meadows Hospital
Acute Care Hospitals · Vidalia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30474 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Staten's NPI number?
The NPI number for Shannon Staten is 1437421773. It was assigned to this individual provider in the NPPES registry on February 2, 2012.
Where is Shannon Staten located?
Shannon Staten practices at 1 Meadows Pkwy, Vidalia, GA 30474. The listed phone number is (912) 538-5537.
What is Shannon Staten's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shannon Staten enrolled in Medicare?
Yes. Shannon Staten 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 Shannon Staten's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Staten reassigns Medicare benefits to SE Georgia Anesthesia, LLC (Vidalia, GA). 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 Staten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Staten accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Shannon Staten 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.
Is Shannon Staten affiliated with any hospitals?
According to CMS data, Shannon Staten is affiliated with Memorial Health Meadows Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Staten was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Shannon Lacey Staten, CRNA · NPI 1437421773
Nurse Anesthetist, Certified Registered physician in Vidalia, Georgia. Individual provider, active in the CMS NPPES registry since February 2, 2012.
## Identity
- **NPI:** 1437421773 (Entity type: Individual)
- **Enumerated:** February 2, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN188967 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 MEADOWS PKWY, Vidalia, GA 30474-8759
- **Phone:** (912) 538-5537
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** SE Georgia Anesthesia, LLC (NPI 1518542919, Vidalia, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** August 27, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1437421773) · Data from the CMS NPPES public registry.