Active NPI
Pacifique Ishimwe, CRNA
- Certified Registered Nurse Anesthetist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61393018
- Practice address
- 3810 Plaza Way
Kennewick, WA 99338-2722 - Phone
- (509) 221-7000
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP61393018 | WA | Primary |
Addresses
Primary practice location
3810 Plaza Way
Kennewick, WA 99338-2722
Mailing address
76 Peachtree Rd Ste 300
Asheville, NC 28803-3505
Phone (828) 210-9386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA, ID
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.73 of 100
- Quality
- 80.23
- Promoting interoperability
- 82
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Consultants of Treasure Valley PLLC | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180
1300 Mable Ave
#1
Modesto, CA 95355
Phone (209) 571-1633
1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633
1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
2388 N California St
Stockton, CA 95204
Phone (209) 465-2711
1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177
8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000
76 Peachtree Rd
Ste 300
Asheville, NC 28803
Phone (828) 254-1969
1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111
200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
Organizations & group practices 7
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.
-
dba Premier Anesthesia of Richland
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
Nurse Anesthetist, Certified Registered
-
dba Prosser Memorial Health
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
- Anesthesiology Physician
- Boise, ID
- NPI 1124066063
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WA
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
dba Benton City Clinic
- Rural Health Clinic/Center
- Benton City, WA
- NPI 1437199072
-
dba Prosser Memorial Health Spine Clinic
- Specialist
- Walla Walla, WA
- NPI 1518770155
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1396451746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 PEACHTREE RD STE 300",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288033505",
"telephone_number": "828-210-9386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 PLAZA WAY",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382722",
"telephone_number": "509-221-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHIMWE",
"first_name": "PACIFIQUE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61393018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.