Active NPI
Pamela Passafiume, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1071808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74207903 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
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
Practice addresses (Care Compare)
4023 Reas LN
New Albany, IN 47150-2228
Phone (812) 206-7660
Hospital & facility affiliations
- Physicians' Medical Center LLC
- Baptist Health Floyd
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071808 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1447200621
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1689857385
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.