Individual provider Active NPI

Shannon Rae Rohr, CRNA

  • Certified Registered Nurse Anesthetist
  • Millersburg, OH
National Provider Identifier
1649350265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
259878 Issued in OH
Practice address
981 Wooster Rd
Millersburg, OH 44654-1536
Phone
(330) 674-1015
Fax
(614) 451-5846
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 259878 OH Primary

Addresses

Primary practice location

981 Wooster Rd
Millersburg, OH 44654-1536

Mailing address

PO Box 20451
Columbus, OH 43220-0451
Phone (614) 451-7346

Other identifiers 1

IdentifierTypeStateIssuer
2279305MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000638 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123912292 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Anesthesia Group, IncGroup PAC ID 9537222138, 130 clinicians
Borgelt Anesthesia Services, LLCGroup PAC ID 7517491897, 13 clinicians

Practice addresses (Care Compare)

3519 Friendsville Rd
Wooster, OH 44691-1241
Phone (330) 345-7200

6349 Torington Dr
Medina, OH 44256-6567
Phone (419) 631-5915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259878OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nye Eye Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2024 Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Jan 1, 2018 Accepting new patients
Borgelt Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Marion Area Physicians LLC CurrentSince Mar 1, 2020 Accepting new patients
Anesthesia Associates of Southern Ohio, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Mansfield, Inc PastSince Jan 15, 2004 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

1261 Wooster Rd
Ste 200
Millersburg, OH 44654
Phone (330) 674-2822

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649350265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20451",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200451",
            "telephone_number": "614-451-7346",
            "fax_number": "614-451-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541536",
            "telephone_number": "330-674-1015",
            "fax_number": "614-451-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHR",
        "first_name": "SHANNON",
        "middle_name": "RAE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "259878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2279305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.