Individual provider Active NPI

Pamela Passafiume, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1689754228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1071808 Issued in KY
Practice address
4005 Dupont Cir
Louisville, KY 40207-4801
Phone
(502) 897-7401
Fax
(502) 897-5652
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

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 1071808 KY Primary

Addresses

Primary practice location

4005 Dupont Cir
Louisville, KY 40207-4801

Mailing address

PO Box 822337
Philadelphia, PA 19182-2337
Phone (866) 226-9156

Other identifiers 1

IdentifierTypeStateIssuer
74207903MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040915001231 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214904457 Reassigns benefits to 2 organizations
I20231017000329 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214904457 Reassigns benefits to 2 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
Associated Anesthesiologists of Fort Wayne PCGroup PAC ID 2264412444, 101 clinicians

Practice addresses (Care Compare)

4023 Reas LN
New Albany, IN 47150-2228
Phone (812) 206-7660

Hospital & facility affiliations

  • Physicians' Medical Center LLC Hospital, New Albany, IN, CCN 150172
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score
67.76 of 100Reported as group
Quality
62.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1071808KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists of Fort Wayne PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2023 Accepting new patients
Anesthesia Associates of Louisville, PSC Past Accepting new patients

Locations

6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999

7920 W Jefferson Blvd
Ste 210
Fort Wayne, IN 46804
Phone (260) 434-2022

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7900 W Jefferson Blvd
Ste 102
Fort Wayne, IN 46804
Phone (219) 432-4368

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

4023 Reas Ln
New Albany, IN 47150
Phone (502) 690-6425

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398

4005 DuPont Cir
Louisville, KY 40207
Phone (502) 897-7401

2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488

Organizations & group practices 4

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 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689754228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822337",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191822337",
            "telephone_number": "866-226-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 DUPONT CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074801",
            "telephone_number": "502-897-7401",
            "fax_number": "502-897-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSAFIUME",
        "first_name": "PAMELA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "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": "KY",
            "license": "1071808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74207903",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

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.