Active NPI
Suzanne Robbins Blumer, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3189
- Practice address
- 9263 Medical Plaza Dr
Ste E
Charleston, SC 29406-7112 - Phone
- (843) 572-1228
- Fax
- (877) 561-7564
- NPI assigned
- May 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN102054 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP04467 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 3189 | SC | Primary |
Addresses
Primary practice location
9263 Medical Plaza Dr
Ste E
Charleston, SC 29406-7112
Mailing address
9263 Medical Plaza Dr
Ste E
Charleston, SC 29406-7112
Phone (843) 572-1228
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1674 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080303000627 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5597715797 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Louisiana State University School of Medicine in New Orleans, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trident Anesthesia Group LLC
Practice addresses (Care Compare)
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000
Hospital & facility affiliations
- Trident Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP04467 | LA | MD | Certified Registered Nurse Anesthetist |
| RN102054 | LA | MD | Certified Registered Nurse Anesthetist |
| 3189 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Charleston, P.a. | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Trident Anesthesia Group, LLC | Current | Accepting new patients | |
| Coastal Anesthesia Associates, LLC | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Crescent City Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
1064 Gardner Rd
Ste 112
Charleston, SC 29407
Phone (843) 723-3441
423 Barony St
Moncks Corner, SC 29461
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228
9263 Medical Plaza Dr
Ste E
North Charleston, SC 29406
Phone (843) 572-1228
130 Edge St
Summerville, SC 29486
Phone (843) 628-5816
93 Springview Ln
Unit A
Summerville, SC 29485
Phone (843) 285-6060
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
SC
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1871035956
Nurse Anesthetist, Certified Registered
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1205888484
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
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": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1922054006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263 MEDICAL PLAZA DR",
"address_2": "STE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294067112",
"telephone_number": "843-572-1228",
"fax_number": "877-561-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263 MEDICAL PLAZA DR",
"address_2": "STE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294067112",
"telephone_number": "843-572-1228",
"fax_number": "877-561-7564"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUMER",
"first_name": "SUZANNE",
"middle_name": "ROBBINS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN102054",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP04467",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "3189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1674",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.