SHANNON C BORMANN CRNA
NPI 1912427188
Nurse Anesthetist, Certified Registered in Indianapolis, IN

Active since June 20, 2017Accepts Medicare Assignment
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-4044 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 16, 2025, Nov 13, 2024, Mar 10, 2021 and 1 more (4 updates tracked since 2017).

About Shannon C Bormann Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON C BORMANN CRNA (NPI 1912427188) is an individual nurse anesthetist, certified registered in Indianapolis, Indiana, licensed in Indiana (28199577A) and active in the NPI registry since June 2017. She is affiliated with Indiana University Health, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912427188
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHANNON C BORMANNCredential: CRNA
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateMay 16, 20254 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1912427188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IN · 28199577A
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedPediatricsTaxonomy 208000000X · License 28199577A (IN)
705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Secondary Practice Locations 3

Location 12600 Greenbush StLafayette, IN 47904-2477 · Phone (765) 448-8000 · Fax (765) 838-5150
Location 21111 Ronald Reagan PkwyAvon, IN 46123-7085 · Phone (317) 577-4200 · Fax (317) 577-4200
Location 31701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Other000001135802IN · Anthem Provider Number
Medicaid300009668IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon C Bormann Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082972138
PECOS Enrollment IDI20171218002676

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
24 services23 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Rheumatology)
705 RILEY HOSPITAL DR, RR 307
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Hematology-Oncology)
705 RILEY HOSPITAL DR, ROC 4340
INDIANAPOLIS, IN 46202
Pediatrics (Adolescent Medicine)
705 RILEY HOSPITAL DR, MSA 2
INDIANAPOLIS, IN 46202
Pediatrics
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Otolaryngology
705 RILEY HOSPITAL DR, SUITE 0860
INDIANAPOLIS, IN 46202
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR, RR 208
INDIANAPOLIS, IN 46202
Pediatrics
705 RILEY HOSPITAL DR, STE 1721
INDIANAPOLIS, IN 46202
Audiologist (Assistive Technology Practitioner)
705 RILEY HOSPITAL DR, 0860
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912427188, enumerated as an "individual" on June 20, 2017.

The provider is located at 705 RILEY HOSPITAL DR INDIANAPOLIS, IN 46202 and the phone number is (317) 944-4044.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: CareSource, Anthem Blue Cross, Medicare and. Please consult your insurance carrier or call the provider to verify.

Shannon Bormann is affiliated with: INDIANA UNIVERSITY HEALTH and IU HEALTH WEST HOSPITAL.