BART RANDALL SHIELDS CRNA
NPI 1740479989
Nurse Anesthetist, Certified Registered in Urbana, IL

Q: What is Bart Shields's NPI number?

The NPI number for Bart Shields is 1740479989. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Q: What is Bart Shields's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bart Shields was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since October 23, 2007Accepts Medicare Assignment

611 W PARK ST, URBANA, IL 61801(217) 838-3311 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Bart Randall Shields Crna NPPES

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

BART RANDALL SHIELDS CRNA (NPI 1740479989) is an individual nurse anesthetist, certified registered in Urbana, Illinois, licensed in Illinois (209003210) and active in the NPI registry since October 2007. He is affiliated with Carle Foundation Hospital, maintains a secondary practice location in Urbana, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1740479989

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBART RANDALL SHIELDSCredential: CRNA

Location Address611 W PARK STUrbana, IL 61801-2501

Mailing Address611 W Park St, FapcUrbana, IL 61801-2501 · (217) 838-3311 · Fax (217) 383-3265

Phone(217) 838-3311

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateOctober 23, 2007

Last NPPES UpdateSeptember 4, 2025

NPPES CertifiedSeptember 4, 2025

✔ NPI 1740479989 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 IL · 209003210

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.

611 W PARK ST, Urbana, IL 61801

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Secondary Practice Location 1

Location 11400 W Park StUrbana, IL 61801-2334 · Phone (217) 337-2000

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

Bart Randall Shields 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 ID1850298761

PECOS Enrollment IDI20031218000178

Areas of Expertise CMS Part B claims

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 lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology