Shane Everett Stockwell, CRNA - Medicare Nurse Anesthetist, Certified Registered in South Jordan, UT

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Shane Everett Stockwell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Jordan, Utah. His current practice location is 3495 W Kamran Ridge Cv, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (304) 982-9556.

Shane Everett Stockwell is licensed to practice in Utah (license number 3086781-4406) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346334018.

Contact Information

Shane Everett Stockwell, CRNA
3495 W Kamran Ridge Cv,
South Jordan, UT 84095-8499
(304) 982-9556
Not Available

Map and Direction




Provider's Profile

Full NameShane Everett Stockwell
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3495 W Kamran Ridge Cv, South Jordan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346334018
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 09/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1658473699
  • Enrollment ID: I20130215000485

Medical Identifiers

Medical identifiers for Shane Everett Stockwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346334018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 64006 (West Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 3086781-4406 (Utah)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. Shane Everett Stockwell allows following entities to bill medicare on his behalf.
Entity NameMountain View Anesthesia Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043249840
PECOS PAC ID: 5991604829
Enrollment ID: O20040108000626
Entity NameEye Surg Of Utah, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1629069281
PECOS PAC ID: 5799829321
Enrollment ID: O20100220000393
Entity NameUtah Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235626417
PECOS PAC ID: 4486993862
Enrollment ID: O20190301000531
Entity NameNph Anesthesia Of Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366077273
PECOS PAC ID: 9537584313
Enrollment ID: O20200811001268

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. Shane Everett Stockwell 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
Shane Everett Stockwell, CRNA
3495 W Kamran Ridge Cv,
South Jordan, UT 84095-8499

Ph: (304) 982-9556		Shane Everett Stockwell, CRNA
3495 W Kamran Ridge Cv,
South Jordan, UT 84095-8499

Ph: (304) 982-9556

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Jordan, UT

Nathan A. Sager, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 4493 W Open Hill Dr, South Jordan, UT 84009
Phone: 801-660-5790    

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.