Doctor profile · Federal record
Dr. Shannon Boldenow
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Pontiac, MI
- NPI 1720628357
- MIPS 82.4 / 100 · 2023
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
44405 Woodward Ave
Pontiac, MI 483415023
(248) 858-3000 - Mailing address
-
4840 Alton CT
Troy, MI 480855044
Credentials & registration
- NPI registered
- January 2020 — 6 yrs on file
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Michigan #4704283091
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720628357. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
49
Distinct HCPCS
3
Medicare allowed
$3,807
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 21 | 21 | $73 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 17 | 17 | $65 | |
01922 |
Anesthesia for x-ray or radiation therapy | 11 | 11 | $107 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 38. This provider delivers 1.3× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Shannon Boldenow's medical specialty?
Dr. Shannon Boldenow practices Certified Registered Nurse Anesthetist in Pontiac, MI.
Where does Dr. Shannon Boldenow practice?
Dr. Shannon Boldenow practices at 44405 Woodward Ave, Pontiac, MI 483415023. Office phone: 2488583000.
What is Dr. Shannon Boldenow's NPI?
Dr. Shannon Boldenow's National Provider Identifier (NPI) is 1720628357, issued by NPPES.
Does Dr. Shannon Boldenow accept Medicare assignment?
Dr. Shannon Boldenow does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Shannon Boldenow commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for x-ray or radiation therapy (HCPCS 01922). Source: CMS Medicare Physician & Other Practitioners file.