Individual provider Active NPI

Robin L Fowlkes-Edmonds, CRNA

  • Certified Registered Nurse Anesthetist
  • Mechanicsville, VA
National Provider Identifier
1982900429
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024169172 Issued in VA
Practice address
8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone
(804) 764-6000
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024169172 VA Primary

Addresses

Primary practice location

8260 Atlee Rd
Mechanicsville, VA 23116-1844

Mailing address

5855 Bremo Rd
Suite 100
Richmond, VA 23226-1930
Phone (804) 288-6258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110419000502 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335324243 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roanoke Valley Center for Sight, LLCGroup PAC ID 0345219085, 14 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

470 Lithia Rd
Wytheville, VA 24382-5126
Phone (540) 378-5276

600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200

Hospital & facility affiliations

  • Wythe County Community Hospital Hospital, Wytheville, VA, CCN 490111

Merit-based Incentive Payment System (MIPS)

Final score
76.47 of 100Reported as group
Quality
52.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024169172VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Center for Sight LLC CurrentSince Oct 1, 2023 Accepting new patients
Pulaski Community Hospital Inc CurrentSince Jul 25, 2015 Accepting new patients
Valley Anesthesia PC CurrentSince Dec 1, 2019 Accepting new patients
Roanoke Valley Center for Sight, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Pulaski Community Hospital Inc CurrentSince Jul 25, 2015 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2025 Accepting new patients

Locations

433 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 632-7207

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

2154 McVitty Rd SW
Ste 101
Roanoke, VA 24018
Phone (540) 378-5276

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

438 W Main St
Salem, VA 24153
Phone (540) 378-5276

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

470 Lithia Rd
#2
Wytheville, VA 24382

470 Lithia Rd
Wytheville, VA 24382
Phone (540) 378-5276

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1982900429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261930",
            "telephone_number": "804-288-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161844",
            "telephone_number": "804-764-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLKES-EDMONDS",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024169172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.