Individual provider Active NPI

Pnemonie Shoshana Robinson, CRNA

  • Certified Registered Nurse Anesthetist
  • Providence, KY
National Provider Identifier
1154168359
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28231609A Issued in IN
Practice address
310 N Willow St Apt 32
Providence, KY 42450-1240
Phone
(765) 409-7254
NPI assigned
Jul 15, 2024
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 28231609A IN Primary

Addresses

Primary practice location

310 N Willow St Apt 32
Providence, KY 42450-1240

Mailing address

310 N Willow St Apt 32
Providence, KY 42450-1240
Phone (765) 409-7254

Other practice location 1

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010001029 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072010453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Australia Anesthesia Management LLCGroup PAC ID 9436671864, 58 clinicians

Practice addresses (Care Compare)

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Memorial Community Hospital, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Australia Anesthesia Management LLC CurrentSince Jan 22, 2026 Accepting new patients
Cameron Memorial Community Hospital, Inc CurrentSince Oct 3, 2025 Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1605 Winsted Dr
Goshen, IN 46526
Phone (574) 271-0013

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

Organizations & group practices 3

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 2

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1154168359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N WILLOW ST APT 32",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501240",
            "telephone_number": "765-409-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N WILLOW ST APT 32",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501240",
            "telephone_number": "765-409-7254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 E Maumee St",
            "address_purpose": "LOCATION",
            "city": "Angola",
            "state": "IN",
            "postal_code": "467032015",
            "country_code": "US",
            "telephone_number": "260-665-2141",
            "fax_number": "260-665-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PNEMONIE",
        "middle_name": "SHOSHANA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28231609A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.