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

Shad Fly

Individual provider Certified Registered Nurse Anesthetist · NPI 1861055006

Shad Fly is a Certified Registered Nurse Anesthetist (CRNA) in Spokane, Washington. Qualified in 2022, 4 years ago. Practices with Anesthesia Associates, Ps, a 63-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

800 W 5th Ave
Spokane, WA 99204-2803
Phone: (509) 458-5800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP61299457 (WA)

Record details

NPI number1861055006
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 15, 2019
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Anesthesia Associates, Ps — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane