LISA J SHACKELFORD CRNA
NPI 1528074374
Nurse Anesthetist, Certified Registered in Jonesboro, AR

Q: What is Lisa Shackelford's NPI number?

The NPI number for Lisa Shackelford is 1528074374. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Lisa Shackelford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Shackelford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 01, 2006Accepts Medicare Assignment

3024 STADIUM BLVD, JONESBORO, AR 72401(501) 227-0700(501) 227-0744 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lisa J Shackelford Crna NPPES

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

LISA J SHACKELFORD CRNA (NPI 1528074374) is an individual nurse anesthetist, certified registered in Jonesboro, Arkansas, licensed in Arkansas (CTP-000011) and active in the NPI registry since August 2006. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1528074374

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLISA J SHACKELFORDCredential: CRNA

Location Address3024 STADIUM BLVDJonesboro, AR 72401-7415

Mailing Address304 County Road 388Jonesboro, AR 72401-0184 · (870) 972-5478

Phone(501) 227-0700

Fax(501) 227-0744

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528074374 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 AR · CTP-000011

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.

3024 STADIUM BLVD, Jonesboro, AR 72401

Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified5Y936AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Lisa J Shackelford 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 ID9436151453

PECOS Enrollment IDI20070205000324

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 for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN MARTIN CRNA

Nurse Anesthetist, Certified Registered