Individual provider Active NPI

Wilma I Rabon, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, SC
National Provider Identifier
1063472496
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN169 Issued in SC
Practice address
555 W Cheves St
Florence, SC 29506-2617
Phone
(843) 777-8752
Fax
(843) 777-8705
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN169 SC Primary

Addresses

Primary practice location

555 W Cheves St
Florence, SC 29506-2617

Mailing address

PO Box 100551
Florence, SC 29501-0551
Phone (843) 777-8752

Other identifiers 1

IdentifierTypeStateIssuer
AN0473MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000054 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951455013 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Medical University of South Carolina College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 777-7000

800 E Cheves St
Florence, SC 29506-2650

800 E Cheves St
Florence, SC 29506-2652

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN169SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2016 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Sep 25, 2017 Accepting new patients
McLeod Loris Seacoast Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2017 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
McLeod Physician Associates II CurrentSince Jul 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Jul 1, 2021 Accepting new patients
Marion County Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology of South Carolina, LLC Past Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1063472496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100551",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010551",
            "telephone_number": "843-777-8752",
            "fax_number": "843-777-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062617",
            "telephone_number": "843-777-8752",
            "fax_number": "843-777-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABON",
        "first_name": "WILMA",
        "middle_name": "I",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0473",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.