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KIMBERLY K SHAFFER M.D.
NPI 1821084500
Anesthesiology in Little Rock, AR

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205(501) 664-4532(501) 663-4335 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly K Shaffer M.d. NPPES

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

KIMBERLY K SHAFFER M.D. (NPI 1821084500) is an individual anesthesiology provider in Little Rock, Arkansas, licensed in Arkansas (E-3563) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1999).

NPPES Registry Identity

NPI1821084500
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKIMBERLY K SHAFFERCredential: M.D.
Location Address2 SAINT VINCENT CIRLittle Rock, AR 72205-5423
Mailing Address500 S University Ave Ste 500Little Rock, AR 72205-5307 · (501) 664-4532 · Fax (501) 663-4335
Phone(501) 664-4532
Fax(501) 663-4335
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1999
Enumeration DateSeptember 27, 2005
Last NPPES UpdateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1821084500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in AR · E-3563
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License E-3563 (AR)
2 SAINT VINCENT CIR, Little Rock, AR 72205
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Other Identifiers 9

Other71033532430AR · Qual Choice
Other03080012900AR · Qual Choice (lrpm)
OtherS02622AR · Novasys
Other5M462AR · Blue Cross Blue Shield
Other770248401AR · Arkansas Breastcare
Other050091824AR · Railroad Medicare
Other050091825AR · Railroad Medicare (lrpm)
Medicaid149281001AR
Other171973300AR · Us Dept. Of Labor Owcp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Kimberly K Shaffer M.d. 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 ID4587550025
PECOS Enrollment IDI20040223001048
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kimberly Shaffer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Vincent Medical Group
0.1 mi
Family Medicine
2 ST. VINCENT CIRCLE
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 288 clinicians in this Medicare group
NPI 1134176480 (501) 552-3571
University Of Arkansas For Medical Sciences
1.3 mi
Psychiatry
4224 SHUFFIELD DR
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1326341488 (Arkansas)
  • 2,038 clinicians in this Medicare group
NPI 1669188157 (501) 526-8200
Southern Regional Anesthesiology Consultants PLLC
2.2 mi
Anesthesiology
1 SAINT VINCENT CIR STE 260
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 123 clinicians in this Medicare group
NPI 1902231673 (501) 552-4677
Arkansas Childrens Hospital
6.4 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526

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 2

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
52 services52 patients
Ultrasound of heart with probe in esophagus, with report 93312
This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.
39 services37 patients

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.

CHI ST. VINCENT INFIRMARY
Rehabilitation, Substance Use Disorder Unit
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
Pulaski County (501) 552-3575
MOUSTAFA ALY MD
Psychiatry & Neurology (Neurology)
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
Pulaski County (501) 552-3000
DEBORAH WILMOTH CRNA
Nurse Anesthetist, Certified Registered
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
AARON LEACH
Physical Therapist
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
Pulaski County (501) 552-6544
TRAVIS MOSLEY CRNA
Nurse Anesthetist, Certified Registered
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
CLAUDIA MADISON WILLIAMS PA-C
Physician Assistant
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
Pulaski County (501) 552-3000
PATRICIA ANN KINDER APRN
Nurse Practitioner (Acute Care)
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
Pulaski County (501) 552-8433
MR. DYLAN EDEN RAINWATER CRNA
Nurse Anesthetist, Certified Registered
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532

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 Kimberly Shaffer's NPI number?

The NPI number for Kimberly Shaffer is 1821084500. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Kimberly Shaffer located?

Kimberly Shaffer practices at 2 Saint Vincent Cir, Little Rock, AR 72205. The listed phone number is (501) 664-4532.

What is Kimberly Shaffer's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kimberly Shaffer enrolled in Medicare?

Yes. Kimberly Shaffer 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 Kimberly Shaffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Shaffer reassigns Medicare benefits to 4 organizations: St. Vincent Medical Group (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR), Southern Regional Anesthesiology Consultants PLLC (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). 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 Kimberly Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Shaffer accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kimberly Shaffer 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 Kimberly Shaffer was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.