Individual provider Active NPI

Pamela Nichols Robinson, CRNA

  • Certified Registered Nurse Anesthetist
  • Lake City, FL
National Provider Identifier
1194713727
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3278022 Issued in FL
Practice address
404 NW Hall of Fame Dr
Lake City, FL 32055-4833
Phone
(386) 487-3930
NPI assigned
Oct 7, 2005
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN060719 GA
Certified Registered Nurse Anesthetist 367500000X ARNP3278022 FL Primary

Addresses

Primary practice location

404 NW Hall of Fame Dr
Lake City, FL 32055-4833

Mailing address

2820 1St Ave
Apt. a
Fernandina Beach, FL 32034-2344
Phone (404) 275-0768

Other identifiers 3

IdentifierTypeStateIssuer
307618100MedicaidFL
1194713727OtherFLTRICARE
G3385OtherFLBLUE CROSS BLUE SHIELD FL

Other names 1

  • Miss Pamela Jean Nichols Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040707000653 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092792036
I20090610000667 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092792036 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN060719GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Amelia Anesthesia, PL CurrentSince Mar 1, 2013 Accepting new patients
Brevard Physician Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2020 Accepting new patients
Innovative Medical Staffing Solutions Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2015 Accepting new patients
Sarasota Anesthesia Services LLC CurrentSince Nov 17, 2024 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Center of Surgical Excellence Past Accepting new patients
Ambulatory Anesthesia of Atlanta, P C Past Accepting new patients
Professional Gastroenterology & Nutrition Associates, P.a. Past Accepting new patients
Alta Anesthesia Associates of Georgia, PC Nurse Anesthetist, Certified Registered PastSince Nov 11, 2012 Accepting new patients
Mobile Anesthesia Associates LLC Past Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients
First Anesthesia Associates Inc Past Accepting new patients
Calhoun Anesthesia P C Past Accepting new patients
Advanced Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Georgia Anesthesiologists, PC Past Accepting new patients
Anesthesia and Pain Consultants,P.C. Nurse Anesthetist, Certified Registered PastSince Mar 1, 2000 Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Center of Surgical Excellence of Venice Florida LLC Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Northlake Anesthesia Professionals, LLC Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

652 Palm Springs Dr
Altamonte Springs, FL 32701
Phone (407) 332-9871

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

715 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 910-3071

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

483 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 367-0742

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1194713727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 1ST AVE",
            "address_2": "APT. A",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342344",
            "telephone_number": "404-275-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "386-487-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PAMELA",
        "middle_name": "NICHOLS",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN060719",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3278022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307618100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1194713727",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "G3385",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "NICHOLS",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.