Shane Park, CRNA
Certified Registered Nurse Anesthetist · Oro Valley, AZ
Shane Park, CRNA is a certified registered nurse anesthetist with a practice address in Oro Valley, Arizona, and NPI 1629520127, issued on Oct 31, 2016. Check the license (Arizona 233774, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shane Park
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 233774 AZ
95000619 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1551 E Tangerine RD, Oro Valley, AZ 85755
- Phone
- (520) 901-3500
- Enumerated
- Oct 31, 2016
- Record last updated
- Apr 28, 2025
- Medicare enrollment
- Enrolled (PECOS I20231108002123); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 1,100 in Arizona → Look up another NPI →
Also registered at 1551 E Tangerine RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Paul Affleck, MDAnesthesiology Physician1902986078
- Osei Akoto, OTR/LOccupational Therapist1689193179
- Moriah Amaya, RNMedical-Surgical Registered Nurse1437668316
- John Arraf, MDAnesthesiology Physician1972276897
- Nicholas Barrett, P.A.Physician Assistant1326304239
- Taryn Bell, RRTRegistered Respiratory Therapist1326680356
Verify Shane Park in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license 233774Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Ias Arizona PLLCTucson, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shane Park among 1,100 certified registered nurse anesthetist records in Arizona
Shane Park, CRNA is one of 1,100 certified registered nurse anesthetist records with a practice address in Arizona. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 51% of them.
- NPI issued2016 · 51% of these records are older, 46% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 81% of these records are
- Graduated2016 · median 2017 among the 891 with a school on file
- Record last updated2025 · 43% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
32 certified registered nurse anesthetist records list a practice address in Oro Valley
They are 32 of the 542 NPPES records with a practice address in Oro Valley, and 1,100 certified registered nurse anesthetist records in Arizona.
All 1,100 in Arizona → Every provider in Oro Valley → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Manuel Falcon, CRNAOro Valley, AZ 857551154656049
- Kimberly Frazier, APRN, CRNAOro Valley, AZ 857551013953678
- Michele Idera, CRNAOro Valley, AZ 857551639154537
- Elizabeth Klaimy, CRNAOro Valley, AZ 857551114152360
- Katherine Knoneborg, CRNAOro Valley, AZ 857551578598025
- Angie Littlejohn, CRNAOro Valley, AZ 857551700075520
- Mary Lowe, RNOro Valley, AZ 857551689091241
- Fritz Mesilien, D.C, CRNAOro Valley, AZ 857551073914511
Common questions
What is Shane Park, CRNA's NPI number?
Shane Park, CRNA's National Provider Identifier (NPI) is 1629520127, issued on Oct 31, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Shane Park, CRNA located?
The NPPES record lists a practice address at 1551 E Tangerine RD, Oro Valley, AZ, 85755. Phone: (520) 901-3500. Providers update this record themselves, so call before visiting.
How can I verify Shane Park, CRNA's license?
NPPES lists Arizona license number 233774, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.