Shea Randi Clark
NPI 1043882764ActiveIndividual· Nurse Anesthetist, Certified Registered· Charlotte, NC
Nurse Anesthetist, Certified Registered with Chs Anesthesia Services Group Inc, practicing in Charlotte, North Carolina. Medicare paid $6,828 for services to 119 patients in 2024. Masimo Corporation reported $29.69 in payments in 2024, mostly food and beverage. Lists Stanly Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1043882764 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 13, 2021 |
| Last updated in NPPES | Feb 14, 2022 |
| Certified by provider | Feb 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 138248 | NC |
| Registered Nurse | 163W00000X | 270821 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 126 across 19 procedure codes |
| Paid by Medicare | $6,828 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Chs Anesthesia Services Group IncCharlotte, NC · 759 clinicians
Hospital affiliation
- Stanly Regional Medical CenterAlbemarle, NC
Industry payments (Open Payments)
- 2024$29.69 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Masimo Corporation | $29.69 | 2 |
What the 2024 payments were for
- Food and Beverage$29.69 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 592 nurse anesthetists in Charlotte · All nurse anesthetists in North Carolina