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
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
Amsurg Rockledge FL Anesthesia, LLC
Amsurg Port Orange Anesthesia LLC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 212610794 | WY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floridian Anesthesia Services LLC | Current |
Accepting new patients | |
| Amsurg Rockledge FL Anesthesia LLC | Current |
Accepting new patients | |
| Brevard Surgery Center | Current |
Accepting new patients | |
| Amsurg Port Orange Anesthesia, LLC | Current |
Accepting new patients | |
| Amsurg Melbourne Anesthesia LLC | Current |
Accepting new patients | |
| Amsurg Citrus Anesthesia LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00066514 | Other | RAILROAD MC | |
| 312025 | Other | WY | BCBS |
NPI Registry JSON
{
"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
- Ryker Michiel Kiel
- Kimberly Health Systems
- Janae Kinikin
- Christine M Kirby
- Tiffany Rose Knighten
- W Scott Kreycik
- Thomas F Kroenke
- Lance Krunosky
- Callie Americus Kunz
- Rickie L Labounta
All providers in Douglas, WY · Certified Registered Nurse Anesthetist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.