SHANE D GARNER CRNA
NPI 1457612640
Nurse Anesthetist, Certified Registered in Ripon, WI
About Shane D Garner Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE D GARNER CRNA (NPI 1457612640) is an individual nurse anesthetist, certified registered in Ripon, Wisconsin, licensed in Wisconsin (171073030) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Waupun Memorial Hospital, and maintains a secondary practice location in Ripon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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 and accepts Medicare assignment
Shane D Garner 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 Reassignments
4Medicare enrollment records show Shane Garner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berlin, WI 54923
- Reassigned Medicare billing, Wisconsin enrollment
- 2 clinicians in this Medicare group
Oshkosh, WI 54904
- Reassigned Medicare billing, Wisconsin enrollment
- 27 clinicians in this Medicare group
Fond Du Lac, WI 54935
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
Portage, WI 53901
- Reassigned Medicare billing, Wisconsin enrollment
- 359 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Waupun Memorial Hospital
Critical Access Hospitals · Waupun, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54971 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shane Garner's NPI number?
The NPI number for Shane Garner is 1457612640. It was assigned to this individual provider in the NPPES registry on June 4, 2012.
Where is Shane Garner located?
Shane Garner practices at 846 Windsor Rd, Ripon, WI 54971. The listed phone number is (262) 352-4521.
What is Shane Garner's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shane Garner enrolled in Medicare?
Yes. Shane Garner 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 organizations bill Medicare for Shane Garner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Garner reassigns Medicare benefits to 4 organizations: Garner Anesthesia Services LLC (Berlin, WI), Anesthesia Services Of The Fox Valley Sc (Oshkosh, WI), Agnesian Healthcare Inc (Fond Du Lac, WI) and Divine Savior Healthcare, Inc. (Portage, WI). Each 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 Shane Garner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shane Garner accept?
Health plans from CareSource (Common Ground Healthcare) list Shane Garner 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 Shane Garner affiliated with any hospitals?
According to CMS data, Shane Garner is affiliated with Waupun Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shane Garner was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Shane D Garner, CRNA · NPI 1457612640
Nurse Anesthetist, Certified Registered physician in Ripon, Wisconsin. Individual provider, active in the CMS NPPES registry since June 4, 2012.
## Identity
- **NPI:** 1457612640 (Entity type: Individual)
- **Enumerated:** June 4, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 171073030 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 846 WINDSOR RD, Ripon, WI 54971-2608
- **Phone:** (262) 352-4521
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Garner Anesthesia Services LLC (NPI 1285030452, Berlin, WI); Anesthesia Services Of The Fox Valley Sc (NPI 1750385597, Oshkosh, WI); Agnesian Healthcare Inc (NPI 1356476543, Fond Du Lac, WI); Divine Savior Healthcare, Inc. (NPI 1124083894, Portage, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457612640) · Data from the CMS NPPES public registry.