MRS. CONNIE MICHELLE SHIVELY CRNA
NPI 1689701872
Nurse Anesthetist, Certified Registered in Ruston, LA
About Mrs. Connie Michelle Shively Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CONNIE MICHELLE SHIVELY CRNA (NPI 1689701872) is an individual nurse anesthetist, certified registered in Ruston, Louisiana, licensed in Louisiana (60181) and active in the NPI registry since February 2007.
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 (PECOS)
Mrs. Connie Michelle Shively Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
10Medicare enrollment records show Connie Shively reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ruston, LA 71270
- Reassigned Medicare billing, Louisiana enrollment
- 33 clinicians in this Medicare group
Jonesboro, LA 71251
- Reassigned Medicare billing, Louisiana enrollment
- 7 clinicians in this Medicare group
Farmerville, LA 71241
- Reassigned Medicare billing, Louisiana enrollment
- 30 clinicians in this Medicare group
Monroe, LA 71201
- Reassigned Medicare billing, Louisiana enrollment
- 13 clinicians in this Medicare group
Shreveport, LA 71105
- Reassigned Medicare billing, Louisiana enrollment
- 73 clinicians in this Medicare group
Shreveport, LA 71101
- Reassigned Medicare billing, Louisiana enrollment
- 78 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 32 clinicians in this Medicare group
Marksville, LA 71351
- Reassigned Medicare billing, Louisiana enrollment
- 12 clinicians in this Medicare group
Addison, TX 75001
- Reassigned Medicare billing, Louisiana enrollment
- 41 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Louisiana enrollment
- 29 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.
Areas of Expertise CMS Part B claims 6
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUSTON, LA 71270
RUSTON, LA 71270
RUSTON, LA 71270
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 Connie Shively's NPI number?
The NPI number for Connie Shively is 1689701872. It was assigned to this individual provider in the NPPES registry on February 27, 2007.
Where is Connie Shively located?
Connie Shively practices at 1118 S Farmerville St, Ruston, LA 71270. The listed phone number is (318) 723-2770.
What is Connie Shively's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Connie Shively enrolled in Medicare?
Yes. Connie Shively is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Connie Shively's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Shively reassigns Medicare benefits to 10 organizations: Arena Anesthesia LLC (Ruston, LA), Jackson Parish Hospital (Jonesboro, LA), Bayou Anesthesia Group LLC (Farmerville, LA), Harold J Bayonne Jr MD Apmc (Monroe, LA), Christus Health Northern Louisiana (Shreveport, LA) and 5 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 Connie Shively's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie Shively accept?
Health plans from HMO Louisiana list Connie Shively 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 Connie Shively was last updated on August 14, 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.
# Mrs. Connie Michelle Shively, CRNA · NPI 1689701872
Nurse Anesthetist, Certified Registered physician in Ruston, Louisiana. Individual provider, active in the CMS NPPES registry since February 27, 2007.
## Identity
- **NPI:** 1689701872 (Entity type: Individual)
- **Enumerated:** February 27, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 60181 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1118 S FARMERVILLE ST, Ruston, LA 71270-5914
- **Phone:** (318) 723-2770 · **Fax:** (318) 232-1092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Arena Anesthesia LLC (NPI 1023244779, Ruston, LA); Jackson Parish Hospital (NPI 1093793408, Jonesboro, LA); Bayou Anesthesia Group LLC (NPI 1528365947, Farmerville, LA); Harold J Bayonne Jr MD Apmc (NPI 1356886774, Monroe, LA); Christus Health Northern Louisiana (NPI 1255754966, Shreveport, LA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2007
- **Other identifiers:** Medicare PIN 5T808 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1689701872) · Data from the CMS NPPES public registry.