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

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: November 01, 2026.

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
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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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

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

Medicare Billing Reassignments

5

Medicare enrollment records show Lisa Shackelford reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Up Satisfied PA
1.3 mi
Nurse Anesthetist, Certified Registered
2241 HILL PARK CV STE B
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 4 clinicians in this Medicare group
NPI 1093237182 (870) 333-5747
Arkansas Methodist Hospital Corporation
19 mi
Anesthesiology
900 W KINGSHIGHWAY
Paragould, AR 72450
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
NPI 1861593816 (870) 239-7000
Lifelinc Anesthesia V, P.A.
53 mi
Anesthesiology
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Arkansas enrollment
  • 81 clinicians in this Medicare group
NPI 1063907244 (901) 844-1590
Baxter County Regional Hospital Inc
103 mi
Anesthesiology
624 HOSPITAL DR
Mountain Home, AR 72653
  • Reassigned Medicare billing, Arkansas enrollment
  • 88 clinicians in this Medicare group
NPI 1114178753 (870) 508-1000
Arkansas Anesthesia Associates, PLLC.
138 mi
Anesthesiology
1 MEDICAL PARK DR
Benton, AR 72015
  • Reassigned Medicare billing, Arkansas enrollment
  • 182 clinicians in this Medicare group
NPI 1497023360 (501) 771-4693

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.

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
3024 STADIUM BLVD
JONESBORO, AR 72401
Craighead County (501) 227-0700
PAUL S BLUMREICH CRNA
Nurse Anesthetist, Certified Registered
3024 STADIUM BLVD
JONESBORO, AR 72401
Craighead County (501) 227-0700
MR. TERRY RAY BREWER JR. CRNA
Nurse Anesthetist, Certified Registered
3024 STADIUM BLVD
JONESBORO, AR 72401
Craighead County (501) 227-0700
RICHARD THOMAS SHEPPARD CRNA
Nurse Anesthetist, Certified Registered
3024 STADIUM BLVD
JONESBORO, AR 72401
Craighead County (870) 972-7413
DOCTORS' PATHOLOGY SERVICES, PA
Pathology (Anatomic Pathology & Clinical Pathology)
3024 STADIUM BLVD
JONESBORO, AR 72401
Craighead County (870) 930-3518
TOBY A STACY CRNA
Nurse Anesthetist, Certified Registered
3024 STADIUM BLVD
JONESBORO, AR 72401
Craighead County (501) 227-0700
DR. JOHN KENNETH PHILLIPS M.D.
Radiology (Diagnostic Radiology)
3024 STADIUM BLVD
JONESBORO, AR 72401
Craighead County (870) 934-5113
JONATHAN DAVID CRAFTON CRNA
Nurse Anesthetist, Certified Registered
3024 STADIUM BLVD
JONESBORO, AR 72401
Craighead County (501) 972-7413

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 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.

Where is Lisa Shackelford located?

Lisa Shackelford practices at 3024 Stadium Blvd, Jonesboro, AR 72401. The listed phone number is (501) 227-0700.

What is Lisa Shackelford's specialty?

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

Is Lisa Shackelford enrolled in Medicare?

Yes. Lisa Shackelford 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 Lisa Shackelford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Shackelford reassigns Medicare benefits to 5 organizations: Wake Up Satisfied PA (Jonesboro, AR), Arkansas Methodist Hospital Corporation (Paragould, AR), Lifelinc Anesthesia V, P.A. (West Memphis, AR), Baxter County Regional Hospital Inc (Mountain Home, AR) and Arkansas Anesthesia Associates, PLLC. (Benton, AR). 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 Lisa Shackelford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Shackelford accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Lisa Shackelford 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.

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.