Shannon Lacey Staten, CRNA
NPI 1437421773ActiveIndividual· Nurse Anesthetist, Certified Registered· Vidalia, GA
Nurse Anesthetist, Certified Registered (CRNA) with Se Georgia Anesthesia, LLC, practicing in Vidalia, Georgia. Medicare paid $6,418 for services to 62 patients in 2024. Lists Memorial Health Meadows Hospital as a hospital affiliation.
Overview
| NPI | 1437421773 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Feb 2, 2012 |
| Last updated in NPPES | Aug 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | RN188967 | GA |
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) (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 64 across 23 procedure codes |
| Paid by Medicare | $6,418 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Se Georgia Anesthesia, LLCSavannah, GA · 113 clinicians
Hospital affiliation
- Memorial Health Meadows HospitalVidalia, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse anesthetists in Vidalia
- 1972783546
- 1457006256
- 1730572850
- 1851578637
- 1881689917