Individual provider Active NPI

Robert Gauvin, CRNA

  • Certified Registered Nurse Anesthetist
  • Plymouth, MA
National Provider Identifier
1023083243
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
171935 Issued in MA
Practice address
40 Industrial Park Rd
Plymouth, MA 02360-4884
Phone
(508) 746-8600
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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 171935 MA Primary

Addresses

Primary practice location

40 Industrial Park Rd
Plymouth, MA 02360-4884

Mailing address

400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770

Other practice location 1

33 Staniford St Fl 2
Providence, RI 02905-3105
Phone (401) 421-8800

Other identifiers 1

IdentifierTypeStateIssuer
NA0547OtherMABLUE CROSS OF MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041027000132 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517929110 Reassigns benefits to 1 organization
I20051115000920 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517929110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians
Anesthesia Professionals IncGroup PAC ID 0042297582, 6 clinicians

Practice addresses (Care Compare)

33 Staniford St
Providence, RI 02905-3105
Phone (401) 421-8800

444 Quaker LN
Warwick, RI 02886-0185
Phone (774) 320-3040

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171935MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Gastroenterology, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2024 Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 1997 Accepting new patients
Heritage Medical Group Inc. Past Accepting new patients
Nevada Anesthesia Professionals LLC Nurse Anesthetist, Certified Registered PastSince Jun 2, 2010 Accepting new patients
Anesthesia Associates of Kent County, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
MVP Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

333 Elm St
Dedham, MA 02026
Phone (781) 214-6590

145 West St
Milford, MA 01757
Phone (508) 381-5600

500 Faunce Corner Rd
Ste 180
North Dartmouth, MA 02747
Phone (508) 717-0270

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

40 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 732-3000

400 10th St E
Waconia, MN 55387

44 W River St
Providence, RI 02904
Phone 4012744800201

33 Staniford St
#2
Providence, RI 02905

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

444 Quaker Ln
Warwick, RI 02886
Phone (401) 935-1439

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1023083243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 INDUSTRIAL PARK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604884",
            "telephone_number": "508-746-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Staniford St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053105",
            "country_code": "US",
            "telephone_number": "401-421-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUVIN",
        "first_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "171935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MA",
            "identifier": "NA0547",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.