Doctor profile · Federal record
Dr. Tina Shannon, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Charleston, WV
- NPI 1265435556
- Accepts Medicare
- MIPS 83.5 / 100 · 2023
- 23 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3200 Maccorkle Ave Se
Charleston, WV 253041227
(304) 388-5503 - Mailing address
-
311 Southpointe Dr
Charleston, WV 253142471
Credentials & registration
- NPI registered
- May 2005 — 21 yrs on file
- Profile last updated
- April 17, 2024
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- West Virginia #54626
- Medicaid (2)
- OH #2624413 · WV #2601300000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265435556. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$150
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mentor Worldwide LLC | 1 | $149.92 |
By nature of payment
Frequently asked questions
What is Dr. Tina Shannon's medical specialty?
Dr. Tina Shannon practices Certified Registered Nurse Anesthetist in Charleston, WV.
Where does Dr. Tina Shannon practice?
Dr. Tina Shannon practices at 3200 Maccorkle Ave Se, Charleston, WV 253041227. Office phone: 3043885503.
What is Dr. Tina Shannon's NPI?
Dr. Tina Shannon's National Provider Identifier (NPI) is 1265435556, issued by NPPES.
Does Dr. Tina Shannon accept Medicare assignment?
Yes. Dr. Tina Shannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.