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MR. SHEMNON Z MIYAMOTO CRNA
NPI 1770826422
Nurse Anesthetist, Certified Registered in Naples, FL

Active since April 01, 2013Accepts Medicare Assignment
1336 CREEKSIDE BLVD STE 1, NAPLES, FL 34108(310) 222-3472 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Shemnon Z Miyamoto Crna NPPES

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

MR. SHEMNON Z MIYAMOTO CRNA (NPI 1770826422) is an individual nurse anesthetist, certified registered in Naples, Florida, licensed in Florida (ARNP9307982) and active in the NPI registry since April 2013. He is affiliated with Kaiser Foundation Hospital and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770826422
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. SHEMNON Z MIYAMOTOCredential: CRNA
Location Address1336 CREEKSIDE BLVD STE 1Naples, FL 34108-1931
Mailing Address12930 Positano Cir, Apt. 101Naples, FL 34105-4841
Phone(310) 222-3472
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateJune 12, 2013
✔ NPI 1770826422 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 FL · ARNP9307982
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.
1336 CREEKSIDE BLVD STE 1, Naples, FL 34108
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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

Mr. Shemnon Z Miyamoto 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 ID9335389725
PECOS Enrollment IDI20150708003214

Medicare Billing Reassignment

Medicare enrollment records show Shemnon Miyamoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Inc
4,633 mi
Radiology
1292 WAIANUENUE AVE
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 206 clinicians in this Medicare group
NPI 1386767135 (808) 934-4000

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.

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120011
Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34108 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 4

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

THOMAS ANDREW HUFFORD CRNA
Nurse Anesthetist, Certified Registered
1336 CREEKSIDE BLVD STE 1
NAPLES, FL 34108
Collier County (918) 808-8333
GARRETT S. HILT C.R.N.A., A.R.N.P.,
Nurse Anesthetist, Certified Registered
1336 CREEKSIDE BLVD STE 1
NAPLES, FL 34108
Collier County (239) 261-1158
BREANNA GORECKI CRNA
Nurse Anesthetist, Certified Registered
1336 CREEKSIDE BLVD STE 1
NAPLES, FL 34108
Collier County (239) 261-1158
MATHEU OSCEAN STRASSER CRNA
Nurse Anesthetist, Certified Registered
1336 CREEKSIDE BLVD STE 1
NAPLES, FL 34108
Collier County (239) 261-1158

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 Shemnon Miyamoto's NPI number?

The NPI number for Shemnon Miyamoto is 1770826422. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Shemnon Miyamoto located?

Shemnon Miyamoto practices at 1336 Creekside Blvd Ste 1, Naples, FL 34108. The listed phone number is (310) 222-3472.

What is Shemnon Miyamoto's specialty?

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

Is Shemnon Miyamoto enrolled in Medicare?

Yes. Shemnon Miyamoto 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 organization bills Medicare for Shemnon Miyamoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shemnon Miyamoto reassigns Medicare benefits to Kaiser Foundation Health Plan Inc (Hilo, HI). The 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 Shemnon Miyamoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shemnon Miyamoto affiliated with any hospitals?

According to CMS data, Shemnon Miyamoto is affiliated with Kaiser Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Shemnon Miyamoto was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.