Shannon C Bormann, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Indianapolis, Indiana. Her current practice location is
705 Riley Hospital Dr, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 944-4044.
Shannon C Bormann is licensed to practice in Indiana (license number 28199577A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912427188.
Physician's Profile
Full Name | Shannon C Bormann |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shannon C Bormann attended and graduated from in
NPI Data:
- NPI Number: 1912427188
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 01/22/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shannon C Bormann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912427188 | NPI | - | NPPES |
000001135802 | Other | IN | ANTHEM PROVIDER NUMBER |
300009668 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 28199577A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 28199577A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon C Bormann is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon C Bormann, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Shannon C Bormann, CRNA 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 Ph: (317) 944-4044 |
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