Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shannon Kelly Quackenbush, CRNA

Individual provider Registered Nurse · NPI 1730709486

Shannon Kelly Quackenbush, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Buffalo, New York. Qualified in 2011, 15 years ago. Practices with Premier Anesthesia of New York, PC, a 49-clinician group and accepts Medicare assignment. Licensed in Arizona, New York and Pennsylvania.

Years since qualifying
15
Licensed in
AZ, NY, PA
In the registry since
2020
Specialties on file
3
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

1001 Main St Ste K-3502
Buffalo, NY 14203-1009
Phone: (716) 323-6658
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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 748921-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN178240 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN629994 (PA)

Record details

NPI number1730709486
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 23, 2020
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Premier Anesthesia Of New York, P.C. — 49 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 patients151
Services billed 156 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

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 Premier Anesthesia of New York, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 49 clinicians in the practice; 12 are shown here.

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