MRS. CONNIE MICHELLE SHIVELY CRNA
NPI 1689701872
Nurse Anesthetist, Certified Registered in Ruston, LA

NPI Status: Active since February 27, 2007

Contact Information

1118 S FARMERVILLE ST
RUSTON, LA
ZIP 71270
Phone: (318) 723-2770
Fax: (318) 232-1092

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  • Individual
  • Female
  • Years of Experience 32
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About CONNIE SHIVELY

This page provides the complete NPI Profile along with additional information for Connie Shively, a provider established in Ruston, Louisiana with a medical specialization in Nurse Anesthetist, Certified Registered and more than 32 years of experience. The healthcare provider is registered in the NPI registry with number 1689701872 assigned on February 2007. The practitioner's primary taxonomy code is 367500000X with license number 60181 (LA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1689701872
Provider Name
MRS. CONNIE MICHELLE SHIVELY CRNA
Gender
Female
Entity Type
Individual
Location Address
1118 S FARMERVILLE ST RUSTON, LA 71270
Location Phone
(318) 723-2770
Location Fax
(318) 232-1092
Mailing Address
420 RISER RD RUSTON, LA 71270
Mailing Phone
(318) 232-7700
Mailing Fax
(318) 232-1092
Medical School Name
OTHER
Graduation Year
1994
Is Sole Proprietor?
Yes
Enumeration Date
02-27-2007
Last Update Date
08-14-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
60181
License State
LA
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue Connect 80/60 $3200 (L) - POS
  • Blue Connect 80/60 $3200 (N) - POS
  • Blue Connect 80/60 $3200 (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) - POS
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5T808MEDICARE PIN (08)LA 

Medicare Participation & PECOS Enrollment Status

Connie Shively is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 1850486135

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071002000146

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance

This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.

This service was performed 23 times for 19 patients

Anesthesia for nerve block and injection procedure, prone position

Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.

This service was performed 179 times for 144 patients

Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance

This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.

This service was performed 21 times for 18 patients

Anesthesia for other procedure on forearm, wrist, or hand bones

Anesthesia for procedures on forearm, wrist, or hand bones involves administering medications to block sensation in the specific area. It ensures you don't feel pain during the procedure. It can be local (numbing a small area) or regional (numbing a larger part of the body).

This service was performed 15 times for 15 patients

Anesthesia for other procedure on lower leg, ankle, and foot bones

Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.

This service was performed 12 times for 11 patients

Anesthesia for other procedure on top of arm bone and shoulder joint

Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.

This service was performed 20 times for 20 patients

Anesthesia for other procedure or exam of knee joint using an endoscope

Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.

This service was performed 17 times for 17 patients

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

This service was performed 69 times for 69 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.15 for a new patient copayment and $16.76 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 71270 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.6
  • Minimum New Patient Price $53.43
  • Maximum New Patient Price $164.73
  • Average New Patient Copayment $31.15
  • Minimum New Patient Copayment $13.35
  • Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.06
  • Minimum Established Patient Price $16.64
  • Maximum Established Patient Price $133.62
  • Average Established Patient Copayment $16.76
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $33.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689701872
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691402814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 0 + 2 + 8 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1689701872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700975083GREEN CLINIC SURGICAL HOSPITAL, LLC
Organization
General Acute Care Hospital1118 S FARMERVILLE ST
RUSTON, LA 71270
(318) 232-7700
1275661621MR. JOHN HARRIS CRNA
Individual
Nurse Anesthetist, Certified Registered1118 S FARMERVILLE ST
RUSTON, LA 71270
(318) 232-7700
1881877835GREEN CLINIC SURGICAL HOSPITAL CRNA GROUP
Organization
Nurse Anesthetist, Certified Registered1118 S FARMERVILLE ST
RUSTON, LA 71270
(318) 232-7700
1487950994 JENNIFER HAUSGEN LOWERY C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered1118 S FARMERVILLE ST MEDICAL STAFF SERVICES
RUSTON, LA 71270
(318) 232-1092
1467580886MR. JODY D ADAMS CRNA
Individual
Nurse Anesthetist, Certified Registered1118 S FARMERVILLE ST
RUSTON, LA 71270
(318) 232-7119
1770368920CLHG-RUSTON LLC
Organization
Rehabilitation Unit1118 S FARMERVILLE ST
RUSTON, LA 71270
(318) 254-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689701872, enumerated in the NPI registry as an "individual" on February 27, 2007

The provider is located at 1118 S Farmerville St Ruston, La 71270 and the phone number is (318) 723-2770

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 32 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $124.6 with an average copayment of $31.15 for new patient appointments. Established patients should expect a typical charge of $67.06 and an average copayment of 16.76. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance, Anesthesia for nerve block and injection procedure, prone position, Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance, Anesthesia for other procedure on forearm, wrist, or hand bones, Anesthesia for other procedure on lower leg, ankle, and foot bones, Anesthesia for other procedure on top of arm bone and shoulder joint, Anesthesia for other procedure or exam of knee joint using an endoscope and Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand.

This NPI record was last updated on February 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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