Individual provider Active NPI

Ewa Korzeniowska, CRNA

  • Certified Registered Nurse Anesthetist
  • Odessa, TX
National Provider Identifier
1336514728
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP145870 Issued in TX
Practice address
500 W 4TH St
Odessa, TX 79761-5001
Phone
(432) 640-3462
NPI assigned
Dec 10, 2015
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024174352 VA
Certified Registered Nurse Anesthetist 367500000X AP145870 TX Primary

Addresses

Primary practice location

500 W 4TH St
Odessa, TX 79761-5001

Mailing address

134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone (757) 473-0055

Other practice location 1

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 473-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, HI, TX, OR, AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170523000227 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648579474 Reassigns benefits to 1 organization
I20191029001235 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648579474 Reassigns benefits to 2 organizations
I20200519001890 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648579474 Reassigns benefits to 1 organization
I20221010002881 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648579474 Reassigns benefits to 2 organizations
I20260420000856 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648579474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Anesthesia IncGroup PAC ID 1951596329, 108 clinicians
Antigua Anesthesia Management, LLCGroup PAC ID 3870908676, 39 clinicians
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-1000

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

2650 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 269-8282

3355 Riverbend Dr
Suite 510
Springfield, OR 97477-8800
Phone (541) 868-9555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
69.6
Promoting interoperability
100
Improvement activities
40
Cost
76.59

Merit-based Incentive Payment System (MIPS)

Final score
81.82 of 100Reported as group
Quality
67.1
Promoting interoperability
98
Improvement activities
40
Cost
73.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145870TXMDCertified Registered Nurse Anesthetist
0024174352VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Honolulu Spine Center, LLC CurrentSince Aug 23, 2024 Accepting new patients
Atlantic Anesthesia, Inc CurrentSince Mar 13, 2017 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Feb 1, 2024 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2022 Accepting new patients
MCH Professional Care Hospital Based CurrentSince Jun 1, 2020 Accepting new patients
Bay Area Hospital District CurrentSince Aug 16, 2022 Accepting new patients
Pacific Anesthesia, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

500 Ala Moana Blvd
Ste 301
Honolulu, HI 96813
Phone (808) 237-2970

321 N Kuakini St
Ste 306
Honolulu, HI 96817
Phone (808) 545-1557

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973

3355 Riverbend Dr
#510
Springfield, OR 97477
Phone (541) 868-9555

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1336514728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BUSINESS PARK DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626523",
            "telephone_number": "757-473-0055",
            "fax_number": "757-473-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615001",
            "telephone_number": "432-640-3462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-473-0055",
            "fax_number": "757-473-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORZENIOWSKA",
        "first_name": "EWA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024174352",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP145870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.