Individual provider Active NPI

Russell Mal Plewinski, CRNA

  • Certified Registered Nurse Anesthetist
  • Bakersfield, CA
National Provider Identifier
1316909542
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
66362 Issued in NM
Practice address
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone
(661) 326-2000
NPI assigned
Apr 4, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 05257623 NH
Certified Registered Nurse Anesthetist 367500000X 05257623 NH
Certified Registered Nurse Anesthetist 367500000X NA2416 CA
Certified Registered Nurse Anesthetist 367500000X 66362 NM Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other identifiers 2

IdentifierTypeStateIssuer
30346648MedicaidNH
432934099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161110002516 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608865332 Reassigns benefits to 3 organizations
I20231206003447 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608865332 Reassigns benefits to 7 organizations
I20231207002099 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608865332 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48584COMDUrology Physician
NA2416CAMDCertified Registered Nurse Anesthetist
66362NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Gastroenterology Associates CurrentSince Jun 1, 2024 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Jun 2, 2018 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Oct 29, 2023 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Resource Anesthesiology Associates of NM Inc CurrentSince Oct 6, 2024 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 29, 2023 Accepting new patients
Oak Creek Anesthesia Services, Inc. CurrentSince May 1, 2022 Accepting new patients
Prowers County Hospital District CurrentSince Dec 11, 2023 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Current Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2024 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Practitioner CurrentSince Mar 27, 2024 Accepting new patients
Sterling Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2024 Accepting new patients
Park Meadows Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2023 Accepting new patients
Anesthesia Consultants PC Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Past Accepting new patients

Locations

4500 Trade Center Dr
#B
Bakersfield, CA 93311
Phone (818) 348-7253

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

7230 Medical Center Dr
Ste 405
West Hills, CA 91307

3000 S Jamaica Ct
Ste 140
Aurora, CO 80014
Phone (303) 755-3201

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

13772 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 279-2600

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

8500 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 951-7510

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1316909542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEWINSKI",
        "first_name": "RUSSELL",
        "middle_name": "MAL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "05257623",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "05257623",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA2416",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "66362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30346648",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432934099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.