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DONG H SHIN CRNA
NPI 1992791735
Nurse Anesthetist, Certified Registered in Johnson City, TN

Active since September 27, 2005Accepts Medicare Assignment
1009 NOVUS DR STE 2, JOHNSON CITY, TN 37604(423) 283-0776(423) 968-5697 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2021, Apr 24, 2019 (2 updates tracked since 2019).

About Dong H Shin Crna NPPES

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

DONG H SHIN CRNA (NPI 1992791735) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (RN0000054267) and active in the NPI registry since September 2005. She is affiliated with Johnson City Medical Center and is a graduate of Other (1982).

NPPES Registry Identity

NPI1992791735
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDONG H SHINCredential: CRNA
Location Address1009 NOVUS DR STE 2Johnson City, TN 37604-8237
Mailing Address1009 Novus Dr Ste 2Johnson City, TN 37604-8237 · (423) 283-0776 · Fax (423) 968-5697
Phone(423) 283-0776
Fax(423) 968-5697
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
✔ NPI 1992791735 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 TN · RN0000054267
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.
1009 NOVUS DR STE 2, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 1

Medicaid3607477TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Dong H Shin 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 ID2961568100
PECOS Enrollment IDI20090312000685

Medicare Billing Reassignments

2

Medicare enrollment records show Dong Shin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Tennessee Ambulatory Surgery Center LLC
1.3 mi
Ambulatory Surgical
701 MED TECH PKWY
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Paragon Anesthesia PC
  • 294 clinicians in this Medicare group
NPI 1659360071 (423) 283-7302
Bright Night Anesthesia
1.6 mi
Nurse Anesthetist, Certified Registered
2328 KNOB CREEK RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
NPI 1427486430 (423) 639-0941

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.

Anesthesia for other procedure on hip joint 01210
Anesthesia for a hip joint procedure involves administering medication to block pain during surgery. It can be general (you're asleep) or regional (only a part of your body is numb). This allows the surgeon to work on your hip without causing discomfort.
13 services13 patients
Anesthesia for procedure on upper 2/3rd of thigh bone 01230
Anesthesia for a procedure on the upper 2/3rd of the thigh bone involves administering medication to numb the area or make you unconscious, ensuring you don't feel pain during the operation. It's a safe and routine part of surgical procedures.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

SHAWN D BRIGHT CRNA
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
WESLEY TYRUS STEWART CRNA
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
CHASITY A HUFFMAN RN
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
MICHELLE NICOLE COUPER CRNA
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
JODI F CARLSEN CRNA
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
DR. SINAN YAVAS M.D.
Anesthesiology
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
DONNA C FOWLER CRNA
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
DAVID RUNGE
Nurse Anesthetist, Certified Registered
1009 NOVUS DR STE 2
JOHNSON CITY, TN 37604
Washington County (423) 283-0776

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 Dong Shin's NPI number?

The NPI number for Dong Shin is 1992791735. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Dong Shin located?

Dong Shin practices at 1009 Novus Dr Ste 2, Johnson City, TN 37604. The listed phone number is (423) 283-0776.

What is Dong Shin's specialty?

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

Is Dong Shin enrolled in Medicare?

Yes. Dong Shin 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 Dong Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dong Shin reassigns Medicare benefits to 2 organizations: East Tennessee Ambulatory Surgery Center LLC (Johnson City, TN) and Bright Night Anesthesia (Johnson City, TN). 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 Dong Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dong Shin accept?

Health plans from Cigna Healthcare list Dong Shin 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.

Is Dong Shin affiliated with any hospitals?

According to CMS data, Dong Shin is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Dong Shin was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.