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

Individual provider Certified Registered Nurse Anesthetist · NPI 1174783492

Shane Verl Theobald, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Vernal, Utah. Qualified in 2007, 19 years ago. Practices with Mountain View Anesthesia Lc, a 32-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Licensed in
UT
In the registry since
2008
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

151 W 200 N
Vernal, UT 84078-1907 Not confirmed with CMS for 18 years — call before visiting
Phone: (435) 781-1519
Fax: (435) 781-1519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4938276-4406 (UT)

Record details

NPI number1174783492
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 10, 2008
Last updated in NPPESJune 10, 2008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mountain View Anesthesia Lc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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 patients87
Services billed 90 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

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.

Colleagues at Mountain View Anesthesia Lc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 32 clinicians in the practice; 12 are shown here.

Other providers in Vernal