SHANNON KELLY QUACKENBUSH CRNA
NPI 1730709486
Nurse Anesthetist, Certified Registered in Buffalo, NY

Q: What is Shannon Quackenbush's NPI number?

The NPI number for Shannon Quackenbush is 1730709486. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Q: What is Shannon Quackenbush's specialty?

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

Active since April 23, 2020Accepts Medicare Assignment

1001 MAIN ST STE K-3502, BUFFALO, NY 14203(716) 323-6658 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2021, Mar 4, 2021, Jul 9, 2020 and 1 more (4 updates tracked since 2020).

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About Shannon Kelly Quackenbush Crna NPPES

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

SHANNON KELLY QUACKENBUSH CRNA (NPI 1730709486) is an individual nurse anesthetist, certified registered in Buffalo, New York, licensed in New York (748921-1) and active in the NPI registry since April 2020. She is affiliated with Upmc Chautauqua At Wca and is a graduate of Other (2011).

NPPES Registry Identity

NPI1730709486

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSHANNON KELLY QUACKENBUSHCredential: CRNA

Location Address1001 MAIN ST STE K-3502Buffalo, NY 14203-1009

Mailing Address1001 Main St # K3502Buffalo, NY 14203-1009 · (716) 323-6570

Phone(716) 323-6658

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 23, 2020

Last NPPES UpdateAugust 1, 20254 updates tracked since enumeration

NPPES CertifiedAugust 1, 2025

✔ NPI 1730709486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in NY · 748921-1✔ Licensed in PA · RN629994

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN178240 (AZ)

1001 MAIN ST STE K-3502, Buffalo, NY 14203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Kelly Quackenbush 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 ID7416379797

PECOS Enrollment IDI20200615000195, I20200921001290

Areas of Expertise CMS Part B claims 4

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 exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

32 services32 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

15 services15 patients

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.

12 services12 patients

Anesthesia for other procedure on urinary system through urethra 00910

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330239

Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County

Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390146

LocationTwo Crescent Park WestWarren, PA 16365 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMAD KARIM KECHLI

Anesthesiology