Dr Shantall Ruiz Cummins, DNP - Medicare Nurse Anesthetist, Certified Registered in Tripler Army Medical Center, HI

Dr Shantall Ruiz Cummins, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tripler Army Medical Center, Hawaii. Her current practice location is 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii. You can reach out to her office (for appointments etc.) via phone at (888) 683-2778.

Dr Shantall Ruiz Cummins is licensed to practice in Texas (license number 1048624) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437823614.

Contact Information

Dr Shantall Ruiz Cummins, DNP
1 Jarrett White Rd,
Tripler Army Medical Center, HI 96859-5001
(888) 683-2778
Not Available



Provider's Profile

Full NameDr Shantall Ruiz Cummins
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1 Jarrett White Rd, Tripler Army Medical Center, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437823614
  • Provider Enumeration Date: 08/02/2021
  • Last Update Date: 08/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739541335
  • Enrollment ID: I20230814003631

Medical Identifiers

Medical identifiers for Dr Shantall Ruiz Cummins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437823614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1048624 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shantall Ruiz Cummins allows following entities to bill medicare on her behalf.
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345

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Entity NameMid Florida Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770050452
PECOS PAC ID: 2860739430
Enrollment ID: O20190122000843

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Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shantall Ruiz Cummins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shantall Ruiz Cummins, DNP
91-1178 Hoomahana St,
Ewa Beach, HI 96706-4629

Ph: (404) 788-5462
Dr Shantall Ruiz Cummins, DNP
1 Jarrett White Rd,
Tripler Army Medical Center, HI 96859-5001

Ph: (888) 683-2778

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Nurse Anesthetist, Certified Registered Nurses in Tripler Army Medical Center, HI

Kari L Rodden, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-433-4130    
Michael David Smithers, CRNA, DNAP
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-321-2748    
Jacob L Deeds, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-433-7699    
Mr. Samuel Ervin Dixon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-433-4857    Fax: 808-433-4857
Mr. James D. Maliszewskyj, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Jarrett White Rd Rm 6g804, Tripler Army Medical Center, HI 96859
Phone: 808-433-6451    
Jennifer Wertz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-655-6651    

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