SHAWN MICHAEL KOTLYN CRNA
NPI 1619991031
Nurse Anesthetist, Certified Registered in Broadview Heights, OH
About Shawn Michael Kotlyn Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN MICHAEL KOTLYN CRNA (NPI 1619991031) is an individual nurse anesthetist, certified registered in Broadview Heights, Ohio, licensed in Ohio (RN268118 / NA06661) and active in the NPI registry since July 2006. He is affiliated with Summa Health System and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Shawn Michael Kotlyn 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
5Medicare enrollment records show Shawn Kotlyn reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lyndhurst, OH 44124
- Reassigned Medicare billing, Ohio enrollment
- 11 clinicians in this Medicare group
Springfield, OH 45505
- Reassigned Medicare billing, Ohio enrollment
- 471 clinicians in this Medicare group
Dayton, OH 45405
- Reassigned Medicare billing, Ohio enrollment
- 419 clinicians in this Medicare group
Dayton, OH 45409
- Reassigned Medicare billing, Ohio enrollment
- 283 clinicians in this Medicare group
Batavia, OH 45103
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
- 830 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Summa Health System
Acute Care Hospitals · Akron, OHGrand Lake Health System
Acute Care Hospitals · Saint Marys, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shawn Kotlyn's NPI number?
The NPI number for Shawn Kotlyn is 1619991031. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Shawn Kotlyn located?
Shawn Kotlyn practices at 1414 Honeygold Ln, Broadview Heights, OH 44147. The listed phone number is (440) 570-4022.
What is Shawn Kotlyn's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shawn Kotlyn enrolled in Medicare?
Yes. Shawn Kotlyn 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 Shawn Kotlyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Kotlyn reassigns Medicare benefits to 5 organizations: Legacy Anesthesia Services LLC (Lyndhurst, OH), Northstar Anesthesia Of Ohio LLC (Springfield, OH), Dayton Anesthesia & Pain Services, LLC (Dayton, OH), Anesthesiology Services Network Ltd (Dayton, OH) and Anesthesia & Intensive Care Consultants,inc. (Batavia, OH). 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 Shawn Kotlyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Kotlyn accept?
Health plans from CareSource and Paramount list Shawn Kotlyn 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 Shawn Kotlyn affiliated with any hospitals?
According to CMS data, Shawn Kotlyn is affiliated with Summa Health System and Grand Lake Health System.
When was this NPI record last updated?
The NPPES record for Shawn Kotlyn was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Shawn Michael Kotlyn, CRNA · NPI 1619991031
Nurse Anesthetist, Certified Registered physician in Broadview Heights, Ohio. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1619991031 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN268118 / NA06661 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1414 HONEYGOLD LN, Broadview Heights, OH 44147-3630
- **Phone:** (440) 570-4022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Legacy Anesthesia Services LLC (NPI 1760741292, Lyndhurst, OH); Northstar Anesthesia Of Ohio LLC (NPI 1417276429, Springfield, OH); Dayton Anesthesia & Pain Services, LLC (NPI 1629401898, Dayton, OH); Anesthesiology Services Network Ltd (NPI 1821076779, Dayton, OH); Anesthesia & Intensive Care Consultants,inc. (NPI 1164859013, Batavia, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** January 10, 2014
- **Other identifiers:** Medicare ID-Type Unspecified K08229041 (OH); Medicaid 2287583 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1619991031) · Data from the CMS NPPES public registry.