THEODORE RUSSELL GAVEL CRNA
NPI 1134448996
Nurse Anesthetist, Certified Registered in Centralia, WA

Q: What is Theodore Gavel's NPI number?

The NPI number for Theodore Gavel is 1134448996. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Q: What is Theodore Gavel's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Gavel was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2010Accepts Medicare Assignment

914 S SCHEUBER RD, PMG SW WA CENTRALIA ANESTHESIOLOGY, CENTRALIA, WA 98531(360) 736-2803 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Theodore Russell Gavel Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE RUSSELL GAVEL CRNA (NPI 1134448996) is an individual nurse anesthetist, certified registered in Centralia, Washington, licensed in Washington (AP60443744) and active in the NPI registry since May 2010. He is affiliated with Peacehealth Southwest Medical Center and is a graduate of Other (2010).

NPPES Registry Identity

NPI1134448996

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTHEODORE RUSSELL GAVELCredential: CRNA

Location Address914 S SCHEUBER RD, PMG SW WA CENTRALIA ANESTHESIOLOGYCentralia, WA 98531-9027

Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 747-2455

Phone(360) 736-2803

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 19, 2010

Last NPPES UpdateMay 21, 2014

✔ NPI 1134448996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in WA · AP60443744✔ Licensed in PA · RN584062

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

914 S SCHEUBER RD, Centralia, WA 98531

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore Russell Gavel Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810029337

PECOS Enrollment IDI20140602000635

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500050

Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County

Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500150

Location2211 NE 139th StreetVancouver, WA 98686 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALEXANDER STEVENS MD

Family Medicine