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

Shawn Patrick Sparks, GRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1457096257

Shawn Patrick Sparks, GRNA is a Certified Registered Nurse Anesthetist (CRNA) in Binghamton, New York. Qualified in 2022, 4 years ago. Practices with Riverside Associates in Anesthesia PC, a 26-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

169 Riverside Dr
Binghamton, NY 13905-4198
Phone: (600) 772-2726
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 691423 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 137558 (NY)

Record details

NPI number1457096257
Entity typeIndividual (Type 1)
GenderMale
Credentials GRNA
Sole proprietorNo
NPI enumeratedMay 5, 2022
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Riverside Associates In Anesthesia Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Binghamton