Shannon Boldenow, - Medicare Certified Registered Nurse Anesthetist (crna) in Pontiac, MI

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Shannon Boldenow, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pontiac, Michigan. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Michigan Iii Pllc and her current practice location is 44405 Woodward Ave, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 858-3000.

Shannon Boldenow is licensed to practice in Michigan (license number 4704283091) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1720628357.

Contact Information

Shannon Boldenow,
44405 Woodward Ave,
Pontiac, MI 48341-5023
(248) 858-3000
Not Available

Map and Direction




Provider's Profile

Full NameShannon Boldenow
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location44405 Woodward Ave, Pontiac, Michigan
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Boldenow graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1720628357
  • Provider Enumeration Date: 01/12/2020
  • Last Update Date: 01/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6507292703
  • Enrollment ID: I20200206002735

Medical Identifiers

Medical identifiers for Shannon Boldenow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720628357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704283091 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital, TroyTroy, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Of Michigan Iii Pllc7911325469522

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. Shannon Boldenow allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Associates Of Ann Arbor Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669581997
PECOS PAC ID: 1355317223
Enrollment ID: O20040902000916
Entity NameNorthwestern Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215106679
PECOS PAC ID: 4486723657
Enrollment ID: O20080514000823
Entity NameMichigan Crnas Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851666424
PECOS PAC ID: 7416105226
Enrollment ID: O20120920000441
Entity NameAxon Anesthesia Consultants Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235643495
PECOS PAC ID: 7012276819
Enrollment ID: O20180124003392
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990
Entity NameNsa Pain Services Of Michigan Iii, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376169524
PECOS PAC ID: 8921428996
Enrollment ID: O20201013000578

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. Shannon Boldenow 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
Shannon Boldenow,
4840 Alton Ct,
Troy, MI 48085-5044

Ph: () -		Shannon Boldenow,
44405 Woodward Ave,
Pontiac, MI 48341-5023

Ph: (248) 858-3000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Pontiac, MI

Wenjing Zhang, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-6593    
Allison Michelle Frederick, DNAP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-585-3023    Fax: 248-585-3022
Lindsey Sarnovsky, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-3000    
Patricia A Waugh, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-6593    
Zorica Raveane, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-6593    
Stephen Stawicki, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-6593    
Steve Barnett, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 50 N Perry St, Pontiac, MI 48342
Phone: 248-338-5516    Fax: 247-338-5547

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.