Mrs Connie Michelle Shively, CRNA - Medicare Nurse Anesthetist, Certified Registered in Ruston, LA

  1. Home
  2. Nurse Anesthetist - CR
  3. LA
  4. Ruston
Mrs Connie Michelle Shively, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ruston, Louisiana. Her current practice location is 1118 S Farmerville St, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 723-2770.

Mrs Connie Michelle Shively is licensed to practice in Louisiana (license number 60181) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689701872.

Contact Information

Mrs Connie Michelle Shively, CRNA
1118 S Farmerville St,
Ruston, LA 71270-5914
(318) 723-2770
(318) 232-1092

Map and Direction




Provider's Profile

Full NameMrs Connie Michelle Shively
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1118 S Farmerville St, Ruston, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689701872
  • Provider Enumeration Date: 02/27/2007
  • Last Update Date: 08/14/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850486135
  • Enrollment ID: I20071002000146

Medical Identifiers

Medical identifiers for Mrs Connie Michelle Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689701872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 60181 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Connie Michelle Shively allows following entities to bill medicare on her behalf.
Entity NameJackson Parish Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093793408
PECOS PAC ID: 9335048081
Enrollment ID: O20040102000169
Entity NameMedical Center Anesthesiologists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669469748
PECOS PAC ID: 6608814843
Enrollment ID: O20050419001114
Entity NameChristus Health Northern Louisiana
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801822762
PECOS PAC ID: 8628980554
Enrollment ID: O20060111000997
Entity NameArena Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023244779
PECOS PAC ID: 4385795319
Enrollment ID: O20090702000042
Entity NameBayou Anesthesia Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528365947
PECOS PAC ID: 0648456095
Enrollment ID: O20110519000054
Entity NameSayer & Soileau Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629521604
PECOS PAC ID: 1254629223
Enrollment ID: O20161006000882
Entity NameHarold J Bayonne Jr Md Apmc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356886774
PECOS PAC ID: 2062786726
Enrollment ID: O20170919000798
Entity NameShreveport Sedation Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770083164
PECOS PAC ID: 3173886736
Enrollment ID: O20180412000333
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20201020002548
Entity NameOrthomed Staffing Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225514276
PECOS PAC ID: 9638429178
Enrollment ID: O20230620003381

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Connie Michelle Shively is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Connie Michelle Shively, CRNA
420 Riser Rd,
Ruston, LA 71270-9131

Ph: (318) 232-7700		Mrs Connie Michelle Shively, CRNA
1118 S Farmerville St,
Ruston, LA 71270-5914

Ph: (318) 723-2770

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ruston, LA

Christopher E Lancaster, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Vaughn Ave, Ruston, LA 71270
Phone: 318-254-2454    
Janie Constance Hill, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 E Vaughn Ave, Ruston, LA 71270
Phone: 318-254-2557    
Mr. Gregory Allen Strickland Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Vaughn Ave, Ruston, LA 71270
Phone: 318-254-2557    
Mr. John Harris, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1118 S Farmerville St, Ruston, LA 71270
Phone: 318-232-7700    Fax: 318-232-7148
Mr. Jody D Adams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1118 S Farmerville St, Ruston, LA 71270
Phone: 318-232-7119    Fax: 318-232-1092
Whitney Sumlin,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2000 W Barnett Springs Ave Apt 218, Ruston, LA 71270
Phone: 870-826-9429    
Jennifer Hausgen Lowery, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1118 S Farmerville St, Medical Staff Services, Ruston, LA 71270
Phone: 318-232-1092    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.