Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Nicole Genevieve Shadwick, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1447857552

MS. Nicole Genevieve Shadwick, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Lake Havasu City, Arizona. Qualified in 2020, 6 years ago. Practices with Valley Regional Anesthesia Associates Inc, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Florida, Missouri and Texas.

Years since qualifying
6
Licensed in
CA, FL, MO, TX
In the registry since
2020
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone: (928) 855-8185
Fax: (928) 453-0453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (800) 862-9980

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1026890 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 95002021 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APRN11022686 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2022021771 (MO)

Record details

NPI number1447857552
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 2, 2020
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Valley Regional Anesthesia Associates Inc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients79
Services billed 92 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Valley Regional Anesthesia Associates Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 153 clinicians in the practice; 12 are shown here.

Other providers in Lake Havasu City