Shane Theobald, CRNA
NPI 1174783492 · Certified Registered Nurse Anesthetist · Vernal, UT
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Theobald, CRNA is a Certified Registered Nurse Anesthetist provider in Vernal, UT (NPI 1174783492).
Provider details
- NPI number
- 1174783492
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 4938276-4406 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
11 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Exam of Colon Using an Endoscope00812 | 11 | $98 |
Typical Medicare-allowed amounts for these services range $98–$98 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2008-06-10
Frequently asked questions
- What is Shane Theobald's NPI number?
- Shane Theobald's National Provider Identifier (NPI) is 1174783492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Theobald's specialty?
- Shane Theobald is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shane Theobald located?
- Shane Theobald's practice location on file with NPPES is 151 W 200 N, Vernal, UT 84078-1907.
- What is Shane Theobald's phone number?
- The practice phone number listed in the NPPES registry for Shane Theobald is (435) 781-1519.
- Does Shane Theobald accept Medicare?
- Shane Theobald is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Theobald's NPI active?
- Yes — Shane Theobald's NPI (1174783492) is active in the NPPES registry as of the last update on 2008-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.