| Shannon Nguyen, CRNA | |
|
601 W Maple Ave Ste 503, Springdale, AR 72764 | |
| (479) 751-3722 | |
| (479) 751-1099 |
| Full Name | Shannon Nguyen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 601 W Maple Ave Ste 503, Springdale, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053890327 | NPI | - | NPPES |
| 231408001 | Medicaid | AR | |
| 5DN38 | Other | AR | BCBS ARKANSAS |
| 910060005 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2018029466 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C003264 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Services Of Benton County Pa | 2264405844 | 53 |
| Renew Medical Group Of Arkansas Ltd | 3173056298 | 108 |
| Ambulatory Anesthesia Associates, Pllc | 4880739648 | 7 |
| Entity Name | Anesthesia Services Of Benton County Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013084482 PECOS PAC ID: 2264405844 Enrollment ID: O20040813000287 |
| Entity Name | Ambulatory Anesthesia Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497086292 PECOS PAC ID: 4880739648 Enrollment ID: O20100304000035 |
| Entity Name | Renew Medical Group Of Arkansas Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215755947 PECOS PAC ID: 3173056298 Enrollment ID: O20241029000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Nguyen, CRNA 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 Ph: (479) 751-3722 | Shannon Nguyen, CRNA 601 W Maple Ave Ste 503, Springdale, AR 72764 Ph: (479) 751-3722 |
Garret Myhan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099 | |
Mr. Joe Vernon Casey Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 | |
Sherrie Bonner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099 | |
Emily Jo Stickney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 | |
Brandie Jolie Cockrell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 | |
Mrs. Stephanie Michele Kendall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099 |