Active NPI
Robert Shane Wilkins, CRNA
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 181229
- Practice address
- 145 Kimel Park Dr
Suite 300
Winston Salem, NC 27103-6984 - Phone
- (336) 768-3212
- NPI assigned
- Jan 25, 2008
- Sex
- Male
- 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 | 181229 | NC | Primary |
Addresses
Primary practice location
145 Kimel Park Dr
Suite 300
Winston Salem, NC 27103-6984
Mailing address
145 Kimel Park Dr
Suite 300
Winston Salem, NC 27103-6984
Phone (336) 768-3212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053142 | Medicaid | NC | |
| NAN982 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 757-3636
2730 Georgia Rd
Franklin, NC 28734-7335
Phone (828) 349-3636
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.38 of 100
- Quality
- 77.5
- Improvement activities
- 20
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2323 | NC | MD | Chiropractor |
| 181229 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| LJP Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Western Carolina Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Current | Accepting new patients | |
| Eagle Physicians and Associates PA | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Piedmont Triad Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| CMC-Northeast, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Piedmont Community Physicians PC | Past | Accepting new patients |
Locations
1002 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 378-0713
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300
1580 Skeet Club Rd
High Point, NC 27265
Phone 336883002912268
507 N Lindsay St
High Point, NC 27262
137 Mount Calvary Rd
#A
Thomasville, NC 27360
Organizations & group practices 13
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.
-
dba Eagle Family Medicine @ Guilford College
- Family Medicine Physician
- Greensboro, NC
- NPI 1457436982
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- High Point, NC
- NPI 1396083820
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
- NPI 1427528595
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hickory, NC
- NPI 1326669508
Nurse Anesthetist, Certified Registered
-
dba Eagle Gastroenterology
- Gastroenterology Physician
- Greensboro, NC
- NPI 1073698502
-
dba Eagle Physical Therapy
- Physical Therapist
- Greensboro, NC
- NPI 1790491751
-
dba Crna
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1023105905
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1801961875
Nurse Anesthetist, Certified Registered
-
- Phlebology Physician
- Winston Salem, NC
- NPI 1972915510
-
- Anesthesiology Physician
- Winston Salem, NC
- NPI 1467497081
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1801073424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 KIMEL PARK DR",
"address_2": "SUITE 300",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036984",
"telephone_number": "336-768-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 KIMEL PARK DR",
"address_2": "SUITE 300",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036984",
"telephone_number": "336-768-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "ROBERT",
"middle_name": "SHANE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-25",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "181229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053142",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN982",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.