Jerrell Wayne Shaw

CRNA | Nurse Anesthetist | 43+ years Exp

3500 Interstate 30 Ste B240, Mesquite
  Texas, 75150-2685
972-681-7246
Accepts Medicare Nurse Anesthetist in Mesquite, Texas.
Jerrell Wayne Shaw is a Mesquite, Texas based nurse anesthetist with 43 years of experience as Anesthesia Administration. He completed he graduation in 1982. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jerrell Wayne Shaw is 578398 for Anesthesia Administration in Texas. his current practice location is 3500 Interstate 30 Ste B240, Mesquite. Patients can reach him at 972-681-7246 or can fax him at 972-681-8946. Jerrell Wayne Shaw is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1659561470.
Jerrell Wayne Shaw is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.

Complete Profile:
Jerrell Wayne Shaw speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Anesthesia Administration
Credentials: CRNA
Experience: 43+ years
Medical School Attended:Other
Graduation Year:1982
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:3500 Interstate 30 Ste B240, Mesquite,
Texas, 75150-2685
Phone:972-681-7246
Fax:972-681-8946
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3375524580
Enrollment ID: I20040525000831
NPI Number: 1659561470
NPI Enumeration Date: 27 Jul, 2007
NPI Last Update On: 18 Dec, 2007

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerrell Wayne Shaw are as mentioned below.
License NumberSpecializationStateStatus
578398Anesthesia Administration TexasPrimary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Jerrell Wayne Shaw has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Miller-franklin Limited Liability Partnership (0749338861)7
Other Medical Identifiers:
Other legacy medical identifiers associated with Jerrell Wayne Shaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
00413WMedicaidTexas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3500 Interstate 30,
Mesquite, Texas
Zip: 75150-2651
Phone Number: 972-681-7246
Fax Number: 972-681-8946
Patients can reach Jerrell Wayne Shaw at 3500 Interstate 30 Ste B240, Mesquite, Texas or can call to book an appointment on 972-681-7246.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.