JERRELL WAYNE SHAW CRNA
NPI 1659561470
Nurse Anesthetist, Certified Registered in Mesquite, TX
About Jerrell Wayne Shaw Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRELL WAYNE SHAW CRNA (NPI 1659561470) is an individual nurse anesthetist, certified registered in Mesquite, Texas, licensed in Texas (578398) and active in the NPI registry since July 2007. He is affiliated with Advanced Dallas Hospitals And Clinics and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Jerrell Wayne Shaw 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
8Medicare enrollment records show Jerrell Shaw reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mesquite, TX 75150
- Reassigned Medicare billing, Texas enrollment
- 43 clinicians in this Medicare group
Dallas, TX 75208
- Reassigned Medicare billing, Texas enrollment
- 21 clinicians in this Medicare group
Lancaster, TX 75146
- Reassigned Medicare billing, Texas enrollment
- 17 clinicians in this Medicare group
Arlington, TX 76012
- Reassigned Medicare billing, Texas enrollment
- 34 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Fort Worth, TX 76132
- Reassigned Medicare billing, Texas enrollment
- 22 clinicians in this Medicare group
San Antonio, TX 78240
- Reassigned Medicare billing, Texas enrollment
- 116 clinicians in this Medicare group
Mcallen, TX 78503
- Reassigned Medicare billing, Texas enrollment
- 98 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.
Advanced Dallas Hospitals And Clinics
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jerrell Shaw's NPI number?
The NPI number for Jerrell Shaw is 1659561470. It was assigned to this individual provider in the NPPES registry on July 27, 2007.
Where is Jerrell Shaw located?
Jerrell Shaw practices at 3500 Interstate 30 Ste B240, Mesquite, TX 75150. The listed phone number is (972) 681-7246.
What is Jerrell Shaw's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jerrell Shaw enrolled in Medicare?
Yes. Jerrell Shaw 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 Jerrell Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerrell Shaw reassigns Medicare benefits to 8 organizations: Mesquite Professional Anesthesia, PA (Mesquite, TX), Miller-Franklin Limited Liability Partnership (Dallas, TX), Morningstar Anesthesia Professionals (Lancaster, TX), Anesthesia Of North Texas, PA (Arlington, TX), Emergenchealth PLLC (Fort Worth, TX) and 3 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 Jerrell Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerrell Shaw accept?
Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Jerrell Shaw 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 Jerrell Shaw affiliated with any hospitals?
According to CMS data, Jerrell Shaw is affiliated with Advanced Dallas Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Jerrell Shaw was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jerrell Wayne Shaw, CRNA · NPI 1659561470
Nurse Anesthetist, Certified Registered physician in Mesquite, Texas. Individual provider, active in the CMS NPPES registry since July 27, 2007.
## Identity
- **NPI:** 1659561470 (Entity type: Individual)
- **Enumerated:** July 27, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 578398 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3500 INTERSTATE 30 STE B240, Mesquite, TX 75150-2685
- **Phone:** (972) 681-7246 · **Fax:** (972) 681-8946
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Mesquite Professional Anesthesia, PA (NPI 1831209949, Mesquite, TX); Miller-Franklin Limited Liability Partnership (NPI 1821253907, Dallas, TX); Morningstar Anesthesia Professionals (NPI 1639824246, Lancaster, TX); Anesthesia Of North Texas, PA (NPI 1598949661, Arlington, TX); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** December 18, 2007
- **Other identifiers:** Medicaid 00413W (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1659561470) · Data from the CMS NPPES public registry.