Lyea Dorae Shine
Lyea Dorae Shine is registered under Certified Registered Nurse Anesthetist (CRNA) in Pleasant Hope, Missouri. Qualified in 2021, 5 years ago. Practices with Agcny Physicians PLLC, a 36-clinician group and accepts Medicare assignment. Licensed in Missouri and New York.
- Years since qualifying
- 5
- Licensed in
- MO, NY
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
502 McCurry StPleasant Hope, MO 65725-9231
Phone: (904) 254-3686
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 811313 (NY) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 2014029095 (MO) |
Record details
| NPI number | 1396346870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 3, 2020 |
| Last updated in NPPES | June 1, 2021 |
| Certification date | June 1, 2021 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Agcny Physicians Pllc — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 133 |
|---|---|
| Services billed | 135 |
| Average patient age | 70 |
Payments from drug and device companies, 2025
| Food and Beverage | $58 |
|---|
Practises at
- University Hospital S U N Y Health Science Center Hospital · Syracuse, NY
Colleagues at Agcny Physicians PLLC
- Bailey Augustine, CRNA, DNP Registered Nurse · Camp Hill, PA
- Cara Buchanan Certified Registered Nurse Anesthetist · Syracuse, NY
- Tatyana V Didenko, CRNA Certified Registered Nurse Anesthetist · Syracuse, NY
- Jeffrey Alan Gaulrapp, CRNA Registered Nurse · Syracuse, NY
- Marina Elizabeth Grabda, CRNA Registered Nurse · Syracuse, NY
- Dr. George D Hoeft II, MD Anesthesiology Physician · Syracuse, NY
- David Oommen Joseph, MD Anesthesiology Physician · Syracuse, NY
- Deborah D Luthringer, MD Anesthesiology Physician · Syracuse, NY
- Dr. Erik Quilty, MD Anesthesiology Physician · Syracuse, NY
- Mr. Kyle F Riley, CRNA Certified Registered Nurse Anesthetist · Syracuse, NY
- Mrs. Maura Eileen Schaefer, CRNA Certified Registered Nurse Anesthetist · College Station, TX
- Tyler Charles James Underriner, MD Student in an Organized Health Care Education/Training Program · Aurora, CO