Active NPI
Pnemonie Shoshana Robinson, CRNA
- Certified Registered Nurse Anesthetist
- Providence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28231609A
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Australia Anesthesia Management LLC | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc | Current | 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.
-
- Anesthesiology Physician
- Goshen, IN
- NPI 1700601903
-
dba Cameron Anesthesiology
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
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.