PHILLIP CONWELL JR. CRNA
NPI 1255540340
Registered Nurse in Fort Bragg, CA

Q: What is Phillip Conwell's NPI number?

The NPI number for Phillip Conwell is 1255540340. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Phillip Conwell's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Conwell was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 22, 2007Accepts Medicare Assignment

73.79/100

CMS Quality Rating

700 RIVER DR, FORT BRAGG, CA 95437(707) 961-1234 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phillip Conwell Jr. Crna NPPES

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

PHILLIP CONWELL JR. CRNA (NPI 1255540340) is an individual registered nurse in Fort Bragg, California, licensed in California (RN405621) and active in the NPI registry since May 2007. He is a graduate of Other (1986).

NPPES Registry Identity

NPI1255540340

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NamePHILLIP CONWELL JR.Credential: CRNA

Location Address700 RIVER DRFort Bragg, CA 95437-5403

Mailing AddressPo Box 937Mendocino, CA 95460-0937 · (707) 813-7639 · Fax (707) 937-2659

Phone(707) 961-1234

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateMay 22, 2007

Last NPPES UpdateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1255540340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · RN405621

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 1064 (CA)

700 RIVER DR, Fort Bragg, CA 95437

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Other Identifiers 1

Other1064CA · California Board Of Registered Nursing

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

Phillip Conwell Jr. 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 ID4789625898

PECOS Enrollment IDI20050519000177

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

64 services52 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

40 services40 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

14 services14 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

13 services13 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

13 services13 patients

Anesthesia for other repair of lower abdomen hernia (1 year or older) 00830

Anesthesia for lower abdomen hernia repair in individuals aged 1 year or older involves administering medication to ensure you don't feel pain during the procedure. It can be either general (you're asleep) or regional (numbs a large area). It's safe and monitored by professionals.

12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.87

Promoting Interoperability

Improvement Activities

Cost

36.93

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.

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