SHANE PARKS CRNA
NPI 1588988745
Nurse Anesthetist, Certified Registered in Gallup, NM

Active since March 17, 2010Accepts Medicare Assignment
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shane Parks Crna NPPES

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

SHANE PARKS CRNA (NPI 1588988745) is an individual nurse anesthetist, certified registered in Gallup, New Mexico, licensed in Ohio (COA.11341-NA) and active in the NPI registry since March 2010. He is affiliated with Integris Bass Baptist Health Center and is a graduate of Other (2009).

NPPES Registry Identity

NPI1588988745
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSHANE PARKSCredential: CRNA
Location Address516 E NIZHONI BLVDGallup, NM 87301
Mailing AddressPo Box 1337Gallup, NM 87305-1337 · (505) 722-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 17, 2010
✔ NPI 1588988745 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 OH · COA.11341-NA
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.
516 E NIZHONI BLVD, Gallup, NM 87301

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 Parks 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 ID5092842799
PECOS Enrollment IDI20140808002137

Medicare Billing Reassignments

6

Medicare enrollment records show Shane Parks reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
600 S MONROE ST
Enid, OK 73701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 13 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Oklahoma enrollment
  • 315 clinicians in this Medicare group
Anesthesiology
4200 E SKELLY DR, SUITE 100
Tulsa, OK 74135
  • Reassigned Medicare billing, Oklahoma enrollment
  • 48 clinicians in this Medicare group
Anesthesiology
10502 N 110TH EAST AVE
Owasso, OK 74055
  • Reassigned Medicare billing, Oklahoma enrollment
  • 101 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1905 WEST 32ND STREET, SUITE #201
Joplin, MO 64804
  • Reassigned Medicare billing, Oklahoma enrollment
  • 17 clinicians in this Medicare group
Pain Medicine
2309 E MAIN ST, SUITE 300
New Iberia, LA 70560
  • Reassigned Medicare billing, Oklahoma enrollment
  • 32 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.

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370016
Location600 South MonroeEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Registered Nurse (Medical-Surgical)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301

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 Parks's NPI number?

The NPI number for Shane Parks is 1588988745. It was assigned to this individual provider in the NPPES registry on March 17, 2010.

Where is Shane Parks located?

Shane Parks practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Shane Parks's specialty?

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

Is Shane Parks enrolled in Medicare?

Yes. Shane Parks 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 Parks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Parks reassigns Medicare benefits to 6 organizations: Anesthesia Of Enid LLC (Enid, OK), Emergenchealth PLLC (Fort Worth, TX), Anesthesia Associates Of Oklahoma PLLC (Tulsa, OK), New Era Anesthesia Services PLLC (Owasso, OK), Four States Anesthesia Services LLC (Joplin, MO) and 1 more organization, 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 Shane Parks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Parks 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 3 other insurers list Shane Parks 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 Parks affiliated with any hospitals?

According to CMS data, Shane Parks is affiliated with Integris Bass Baptist Health Center.

When was this NPI record last updated?

The NPPES record for Shane Parks was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.