Shannon C Bormann, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Indianapolis, Indiana. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Indiana University Health Care Associates Inc and 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 |
|---|
| Gender | Female |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 8 Years |
|---|
| Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
|---|
| 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 graduated from medical school in 2017
NPI Data:
- NPI Number: 1912427188
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 05/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082972138
- Enrollment ID: I20171218002676
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Indiana University Health Care Associates Inc | 5799755864 | 914 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon C Bormann allows following entities to bill medicare on her behalf.
| Entity Name | Arnett Clinic, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
|---|
| Entity Name | Indiana University Health Care Associates Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
|---|
| Entity Name | Aas Indiana Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1831827021 PECOS PAC ID: 4688045115 Enrollment ID: O20230120001025 |
|---|
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 |
Reviews and Comments