SHANNON KILLIAN PATRICK CRNA
NPI 1871010702
Nurse Anesthetist, Certified Registered in Fresno, CA
About Shannon Killian Patrick Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON KILLIAN PATRICK CRNA (NPI 1871010702) is an individual nurse anesthetist, certified registered in Fresno, California, licensed in California (95000756) and active in the NPI registry since August 2017.
NPPES Registry Identity
Specialties & Licenses
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)
Shannon Killian Patrick Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Shannon Patrick reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 293 clinicians in this Medicare group
Fresno, CA 93711
- Reassigned Medicare billing, California enrollment
- 508 clinicians in this Medicare group
Clovis, CA 93612
- Reassigned Medicare billing, California enrollment
- 39 clinicians in this Medicare group
Bakersfield, CA 93306
- Reassigned Medicare billing, California enrollment
- 96 clinicians in this Medicare group
Caldwell, ID 83605
- Reassigned Medicare billing, Idaho and Oregon enrollments
- 31 clinicians in this Medicare group
Boise, ID 83704
- Reassigned Medicare billing, Idaho enrollment
- 47 clinicians in this Medicare group
Emmett, ID 83617
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1326206947 (Idaho)
- 61 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
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRESNO, CA 93721
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 Shannon Patrick's NPI number?
The NPI number for Shannon Patrick is 1871010702. It was assigned to this individual provider in the NPPES registry on August 22, 2017.
Where is Shannon Patrick located?
Shannon Patrick practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 459-6000.
What is Shannon Patrick's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shannon Patrick enrolled in Medicare?
Yes. Shannon Patrick is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shannon Patrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Patrick reassigns Medicare benefits to 8 organizations: Amsurg Fresno Ca Anesthesia LP (Fresno, CA), Valley Regional Anesthesia Associates Inc (Fresno, CA), Community Foundation Medical Group (Fresno, CA), Comprehensive Anesthesia, A California Nursing Corporation (Clovis, CA), Regional Anesthesia Associates Inc (Bakersfield, CA) and 3 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 Shannon Patrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Patrick accept?
Health plans from Moda Health Plan, Inc. list Shannon Patrick 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 Shannon Patrick was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Shannon Killian Patrick, CRNA · NPI 1871010702
Nurse Anesthetist, Certified Registered physician in Fresno, California. Individual provider, active in the CMS NPPES registry since August 22, 2017.
## Identity
- **NPI:** 1871010702 (Entity type: Individual)
- **Enumerated:** August 22, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95000756 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2823 FRESNO ST, Fresno, CA 93721-1324
- **Phone:** (559) 459-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Amsurg Fresno Ca Anesthesia LP (NPI 1104246065, Fresno, CA); Valley Regional Anesthesia Associates Inc (NPI 1578272415, Fresno, CA); Community Foundation Medical Group (NPI 1003329491, Fresno, CA); Comprehensive Anesthesia, A California Nursing Corporation (NPI 1205856655, Clovis, CA); Regional Anesthesia Associates Inc (NPI 1811442874, Bakersfield, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1871010702) · Data from the CMS NPPES public registry.