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SAMANTHA M SHANKLE CRNA
NPI 1881731024
Nurse Anesthetist, Certified Registered in Rochester, MI

Active since January 30, 2007Accepts Medicare Assignment
79.84/100
CMS Quality Rating
1101 W UNIVERSITY DR, ROCHESTER, MI 48307(248) 652-5354(248) 652-5861 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha M Shankle Crna NPPES

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

SAMANTHA M SHANKLE CRNA (NPI 1881731024) is an individual nurse anesthetist, certified registered in Rochester, Michigan, licensed in Michigan (4704239106) and active in the NPI registry since January 2007. She is affiliated with Ascension Providence Rochester Hospital and is a graduate of Other (2006).

NPPES Registry Identity

NPI1881731024
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSAMANTHA M SHANKLECredential: CRNA
Location Address1101 W UNIVERSITY DRRochester, MI 48307-1863
Mailing Address1101 W University DrRochester, MI 48307-1863 · (248) 652-5354 · Fax (248) 652-5861
Phone(248) 652-5354
Fax(248) 652-5861
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 30, 2007
Last NPPES UpdateApril 11, 2017
✔ NPI 1881731024 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 MI · 4704239106
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.
1101 W UNIVERSITY DR, Rochester, MI 48307
Open in Google Maps ↗

Other Identifiers 2

OtherF36455226Chmc Medicare Ptan
Other11904296Caqh

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

Samantha M Shankle 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 ID1355445156
PECOS Enrollment IDI20070404000341

Medicare Billing Reassignments

4

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

Asa Staffing Inc
Same address
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 359 clinicians in this Medicare group
NPI 1114378981 (248) 652-5000
Henry Ford Health Rochester Hospital
Same address
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 67 clinicians in this Medicare group
NPI 1235252321 (248) 652-5000
Superior Anesthetists Associates, Inc.
6.3 mi
Specialist
4550 INVESTMENT DR, SUITE 100
Troy, MI 48098
  • Reassigned Medicare billing, Michigan enrollment
  • 176 clinicians in this Medicare group
NPI 1831144518 (248) 265-4600
Axon Anesthesia Consultants, Plc
7.5 mi
Anesthesiology
1375 S LAPEER RD STE 109
Lake Orion, MI 48360
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
NPI 1235643495 (800) 222-1442

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.

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

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. EMECHETA SAMUEL AJAERO MD
Internal Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 601-4805
MR. DOMINIC JOHN TIRONI CRNA, DNAP
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 652-5000
MS. SHARON BAILEY MASTER SOCIAL WORKER
Social Worker
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 652-5813
SAMBASIVA RAO METTELA MD
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 601-4805
DR. ANIL SINGH M.D.
Internal Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (734) 464-0887
MARK MUNIR MD
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 652-5000
MUHAMMAD ZUBAIR TAHIR MD
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 601-4805
DR. UMESH G GOWDA M.D.
Family Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Oakland County (248) 651-1155

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 Samantha Shankle's NPI number?

The NPI number for Samantha Shankle is 1881731024. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Samantha Shankle located?

Samantha Shankle practices at 1101 W University Dr, Rochester, MI 48307. The listed phone number is (248) 652-5354.

What is Samantha Shankle's specialty?

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

Is Samantha Shankle enrolled in Medicare?

Yes. Samantha Shankle 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 Samantha Shankle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Shankle reassigns Medicare benefits to 4 organizations: Asa Staffing Inc (Rochester, MI), Henry Ford Health Rochester Hospital (Rochester, MI), Superior Anesthetists Associates, Inc. (Troy, MI) and Axon Anesthesia Consultants, Plc (Lake Orion, MI). 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 Samantha Shankle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samantha Shankle affiliated with any hospitals?

According to CMS data, Samantha Shankle is affiliated with Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Shankle was last updated on April 11, 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.