SHANNON M KIDD CRNA
NPI 1508048737
Nurse Anesthetist, Certified Registered in Marietta, OH

Active since November 29, 2007Accepts Medicare Assignment
401 MATTHEW ST, MARIETTA, OH 45750(740) 374-9990(740) 374-9993 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon M Kidd Crna NPPES

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

SHANNON M KIDD CRNA (NPI 1508048737) is an individual nurse anesthetist, certified registered in Marietta, Ohio, licensed in Ohio (COA.11504.NA) and active in the NPI registry since November 2007. She is affiliated with Miami Valley Hospital and is a graduate of Other (2007).

NPPES Registry Identity

NPI1508048737
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHANNON M KIDDCredential: CRNA
Location Address401 MATTHEW STMarietta, OH 45750-1635
Mailing Address2139 Auburn AveCincinnati, OH 45219-2906 · (740) 374-4500 · Fax (740) 374-5887
Fax(740) 374-9993
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 29, 2007
Last NPPES UpdateMarch 6, 2017
✔ NPI 1508048737 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 OH · COA.11504.NA✔ Licensed in WV · 60137
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.
401 MATTHEW ST, Marietta, OH 45750

Other Names 1

Former Name (1)Shannon M Jenkins Crna

Other Identifiers 7

OtherP01058722OH · Railroad Medicare
Medicaid3810014829WV
Other000000662146OH · Anthem
Medicare PIN6039921OH
Medicaid2937764OH
Other000000666683OH · Anthem
Medicare PIN8243673WV

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 M Kidd 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 ID5597821330
PECOS Enrollment IDI20100803000860

Medicare Billing Reassignments

15

Medicare enrollment records show Shannon Kidd reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
110 ROANE ST
Charleston, WV 25302
  • Reassigned Medicare billing, West Virginia enrollment
  • 91 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
600 N PICKAWAY ST
Circleville, OH 43113
  • Reassigned Medicare billing, Ohio enrollment
  • 365 clinicians in this Medicare group
Internal Medicine
4 CHATEAU LN
Barboursville, WV 25504
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
Gastroenterology
4600 LEAP CT STE 121
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 30 clinicians in this Medicare group
Anesthesiology
210 N MAIN ST
London, OH 43140
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group
Anesthesiology
500 LONDON AVE
Marysville, OH 43040
  • Reassigned Medicare billing, Ohio enrollment
  • 23 clinicians in this Medicare group
Anesthesiology
122 12TH ST
Princeton, WV 24740
  • Reassigned Medicare billing, West Virginia enrollment
  • 95 clinicians in this Medicare group
Anesthesiology
405 W GRAND AVE
Dayton, OH 45405
  • Reassigned Medicare billing, Ohio enrollment
  • 419 clinicians in this Medicare group
Anesthesiology
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 299 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4746 MONTGOMERY RD, SUITE 202
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 57 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.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750

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 Kidd's NPI number?

The NPI number for Shannon Kidd is 1508048737. It was assigned to this individual provider in the NPPES registry on November 29, 2007. The provider is also known as Shannon M Jenkins Crna.

Where is Shannon Kidd located?

Shannon Kidd practices at 401 Matthew St, Marietta, OH 45750. The listed phone number is (740) 374-9990.

What is Shannon Kidd's specialty?

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

Is Shannon Kidd enrolled in Medicare?

Yes. Shannon Kidd 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 Shannon Kidd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kidd reassigns Medicare benefits to 15 organizations: Professional Anesthesia Service,inc. (Charleston, WV), Sandusky Anesthesia LLC (Circleville, OH), Cabell Huntington Hospital, Inc (Barboursville, WV), Columbus One Anesthesia LLC (Hilliard, OH), Buckeye Anesthesia Associates (London, OH) and 10 more organizations, listed in the Medicare section above. 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 Shannon Kidd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Kidd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Paramount list Shannon Kidd 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 Kidd affiliated with any hospitals?

According to CMS data, Shannon Kidd is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Kidd was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.