Individual provider Active NPI

Jessica Paulin, CRNA

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, IL
National Provider Identifier
1194148213
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28171798A Issued in IN
Practice address
2200 State St
Lawrenceville, IL 62439-1852
Phone
(618) 943-8517
NPI assigned
Jan 24, 2014
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28171798A IN Primary
Registered Nurse 163W00000X 28171798A IN
Registered Nurse 163W00000X 041374674 IL

Addresses

Primary practice location

2200 State St
Lawrenceville, IL 62439-1852

Mailing address

2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-8517

Other practice location 1

1206 E National Ave
Brazil, IN 47834-2718
Phone (812) 442-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140304001057 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072743442 Reassigns benefits to 5 organizations
I20221116003075 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072743442

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Anesthesia Solutions LLCGroup PAC ID 0345614509, 16 clinicians

Practice addresses (Care Compare)

3901 S 7TH St
Terre Haute, IN 47802-5709
Phone (812) 232-0021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041374674ILMDRegistered Nurse
28171798AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital Current Accepting new patients
Putnam County Hospital CurrentSince Apr 23, 2019 Accepting new patients
Daviess County Hospital CurrentSince Mar 13, 2019 Accepting new patients
Daviess County Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Putnam County Hospital CurrentSince Apr 23, 2019 Accepting new patients
Daviess County Hospital CurrentSince Mar 13, 2019 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Indiana Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients

Locations

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

11650 Olio Rd
Ste 1000389
Fishers, IN 46037
Phone (317) 250-7508

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: jessica.paulin.1@7598.direct.athenahealth.com

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 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": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1194148213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391852",
            "telephone_number": "618-943-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391852",
            "telephone_number": "618-943-8517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 E National Ave",
            "address_purpose": "LOCATION",
            "city": "Brazil",
            "state": "IN",
            "postal_code": "478342718",
            "country_code": "US",
            "telephone_number": "812-442-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULIN",
        "first_name": "JESSICA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28171798A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28171798A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041374674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.