Active NPI
Paula M. Dobrowolska, CRNA
- Certified Registered Nurse Anesthetist
- Loves Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209-012071
- Practice address
- 2202 Harlem Rd
Suite 200
Loves Park, IL 61111-2754 - Phone
- (815) 877-4848
- Fax
- (815) 654-5342
- NPI assigned
- Nov 5, 2014
- Last updated
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28239684A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 209-012071 | IL | Primary |
Addresses
Primary practice location
2202 Harlem Rd
Suite 200
Loves Park, IL 61111-2754
Mailing address
2202 Harlem Rd
Suite 200
Loves Park, IL 61111-2754
Phone (815) 877-4848
Other practice location 1
642 W Hospital Rd
Paoli, IN 47454-9672
Phone (812) 723-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, UT, CO
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1393 E Sego Lily Dr
Sandy, UT 84092-4350
Phone (801) 495-5725
3580 W 9000
West Jordan, UT 84088-8812
Phone (972) 422-5941
6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.45 of 100
- Quality
- 47.08
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-012071 | IL | MD | Certified Registered Nurse Anesthetist |
| 28239684A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Gastroenterology | Current | Accepting new patients | |
| Utah Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| South Central Ohio Anesthesia LLC | Current | Accepting new patients | |
| Prowers County Hospital District | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients |
Locations
401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
10150 S Petunia Way
Lowr
Sandy, UT 84092
1393 E Sego Lily Dr
Sandy, UT 84092
Phone (801) 495-5725
1393 E Sego Lily Dr
Ste 3
Sandy, UT 84092
Phone (801) 495-5725
1393 E Sego Lily Dr
Ste E
Sandy, UT 84092
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
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.
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
-
- Certified Registered Nurse Anesthetist
- Sandy, UT
- NPI 1235626417
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1871689562
-
dba Prowers Medical Center
- Critical Access Hospital
- Lamar, CO
- NPI 1821052929
-
- Gastroenterology Physician
- Sandy, UT
- NPI 1124837646
-
- Gastroenterology Physician
- Bountiful, UT
- NPI 1457393761
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health American Fork Hospital
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1417353319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 HARLEM RD",
"address_2": "SUITE 200",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-654-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 HARLEM RD",
"address_2": "SUITE 200",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-654-5342"
}
],
"practiceLocations": [
{
"address_1": "642 W Hospital Rd",
"address_purpose": "LOCATION",
"city": "Paoli",
"state": "IN",
"postal_code": "474549672",
"country_code": "US",
"telephone_number": "812-723-2811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBROWOLSKA",
"first_name": "PAULA",
"middle_name": "M.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-05",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28239684A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209-012071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.