Individual provider Active NPI

Kristin Shipman, CRNA

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
National Provider Identifier
1497290068
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.019402 Issued in OH
Practice address
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone
(419) 651-3823
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 890051 NV
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019402 OH Primary

Addresses

Primary practice location

2142 N Cove Blvd
Toledo, OH 43606-3895

Mailing address

1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (419) 291-4491

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kshipman93266@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NM, AZ, NV4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170306001922 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799069001 Reassigns benefits to 2 organizations
I20190306001299 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799069001 Reassigns benefits to 1 organization
I20200114002788 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799069001 Reassigns benefits to 1 organization
I20251230003385 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799069001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians
Fielden,Hanson,Isaacs,Miyada,Robison,Yeh LTDGroup PAC ID 5799683462, 168 clinicians

Practice addresses (Care Compare)

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-8434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
890051NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Feb 1, 2017 Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2025 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Apr 22, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Feb 1, 2017 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Jan 20, 2019 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince Dec 9, 2019 Accepting new patients
Metro Anesthesia Consultants P C PastSince Jan 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

7330 N 16th St
Ste A200
Phoenix, AZ 85020
Phone (602) 200-9021

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

L3982
Columbus, OH 43260

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

1 Seagate
Ste 800
Toledo, OH 43604

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Organizations & group practices 8

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

Hospital & facility affiliations 5

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1497290068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "419-291-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-651-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "KRISTIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "890051",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshipman93266@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.