SHANNON LACEY STATEN CRNA
NPI 1437421773
Nurse Anesthetist, Certified Registered in Vidalia, GA

Active since February 02, 2012Accepts Medicare Assignment
1 MEADOWS PKWY, VIDALIA, GA 30474(912) 538-5537 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1437421773
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHANNON LACEY STATENCredential: CRNA
Location Address1 MEADOWS PKWYVidalia, GA 30474-8759
Mailing AddressPo Box 1303Vidalia, GA 30475-1303 · (912) 538-5537 · Fax (912) 538-5228
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 2, 2012
Last NPPES UpdateAugust 27, 2015
NPI 1437421773 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
License Licensed in GA · RN188967
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.

1 MEADOWS PKWY, Vidalia, GA 30474

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

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.

PECOS PAC ID2668631151
PECOS Enrollment IDI20120301000559

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 procedure on anus and rectum 00902
Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
15 services13 patients

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, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Physician 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.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Nurse Practitioner
1 MEADOWS PKWY
VIDALIA, GA 30474
Dietitian, Registered
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474
Radiology (Radiation Oncology)
1 MEADOWS PKWY
VIDALIA, GA 30474
Physician Assistant
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine (Pulmonary Disease)
1 MEADOWS PKWY
VIDALIA, GA 30474
Anesthesiology
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474

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.

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 with the weekly NPPES data releases published by CMS.