Shauna R Kohler, MS CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Douglas, WY

NPI 1831280221 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831280221
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Practice address
111 S 5TH Street
Douglas, WY 82633
Phone
(307) 358-2122
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amsurg Melbourne Anesthesia LLC (4 clinicians)
Amsurg Rockledge FL Anesthesia, LLC (6 clinicians)
Amsurg Port Orange Anesthesia LLC (9 clinicians)

Practice addresses (Care Compare)

1401 S Apollo Blvd
Suite B
Melbourne, FL 32901-3179
Phone (321) 725-5151

1974 Rockledge Blvd
Suite 102
Rockledge, FL 32955-3756
Phone (321) 504-4440

3635 Clyde Morris Blvd
Suite 500
Port Orange, FL 32129-2351
Phone (386) 760-8151

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180711003937 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567531205 Reassigns benefits to 6 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse, Master of Science

State licenses

LicenseStateTypeSpecialty
212610794WYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Anesthesia Services LLC Current
since Jun 7, 2023
Accepting new patients
Amsurg Rockledge FL Anesthesia LLC Current
since Jun 8, 2019
Accepting new patients
Brevard Surgery Center Current
since May 1, 2018
Accepting new patients
Amsurg Port Orange Anesthesia, LLC Current
since Jun 8, 2019
Accepting new patients
Amsurg Melbourne Anesthesia LLC Current
since Jun 8, 2019
Accepting new patients
Amsurg Citrus Anesthesia LLC Current
since Sep 3, 2019
Accepting new patients
Anesthesia Professional Services of Brevard LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Panhandle Anesthesia Associates PC Past Accepting new patients

Locations

1401 S Apollo Blvd
Ste B
Melbourne, FL 32901
Phone (321) 725-5151

665 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 676-1700

2861 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 472-5095

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

1974 US Highway 1
Rockledge, FL 32955
Phone (321) 504-4440

1974 US Highway 1
Ste 102
Rockledge, FL 32955
Phone (321) 504-4440

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X WY Yes

Addresses

Primary practice location

111 S 5TH Street
Douglas, WY 82633

Mailing address

PO Box 1780
Douglas, WY 82633-1780
Phone (307) 358-5590

Other identifiers

IdentifierTypeStateIssuer
P00066514OtherRAILROAD MC
312025OtherWYBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831280221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1780",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826331780",
            "telephone_number": "307-358-5590",
            "fax_number": "307-358-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 5TH STREET",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "82633",
            "telephone_number": "307-358-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "SHAUNA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MS CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "P00066514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "312025",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

All providers in Douglas, WY · Certified Registered Nurse Anesthetist in Wyoming

Sources for this page

Verify at the official NPI Registry.