Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Agne

Individual provider Registered Nurse · NPI 1255203394

Shannon Agne is a Certified Registered Nurse Anesthetist (CRNA) in Fairbanks, Alaska. Qualified in 2025, 1 year ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
1
Licensed in
AK
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 452-8181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NURR38983 (AK)
Registered Nurse Taxonomy 163W00000X · Licence 38983 (AK)

Record details

NPI number1255203394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address1650 Cowles St, Fairbanks, AK 99701-5907

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairbanks