PAULA M. DOBROWOLSKA CRNA
NPI 1417353319
Nurse Anesthetist, Certified Registered in Loves Park, IL

Q: What is Paula Dobrowolska's NPI number?

The NPI number for Paula Dobrowolska is 1417353319. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Q: What is Paula Dobrowolska'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 Paula Dobrowolska was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 05, 2014PECOS EnrolledAccepts Medicare Assignment

2202 HARLEM RD, SUITE 200, LOVES PARK, IL 61111(815) 877-4848(815) 654-5342 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Paula M. Dobrowolska Crna NPPES

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

PAULA M. DOBROWOLSKA CRNA (NPI 1417353319) is an individual nurse anesthetist, certified registered in Loves Park, Illinois, licensed in Illinois (209-012071) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with American Fork Hospital, and maintains a secondary practice location in Paoli.

NPPES Registry Identity

NPI1417353319

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NamePAULA M. DOBROWOLSKACredential: CRNA

Location Address2202 HARLEM RD, SUITE 200Loves Park, IL 61111-2754

Mailing Address2202 Harlem Rd, Suite 200Loves Park, IL 61111-2754 · (815) 877-4848 · Fax (815) 654-5342

Phone(815) 877-4848

Fax(815) 654-5342

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 5, 2014

Last NPPES UpdateJune 24, 2021

NPPES CertifiedJune 24, 2021

✔ NPI 1417353319 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 IL · 209-012071✔ Licensed in IN · 28239684A

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.

2202 HARLEM RD, Loves Park, IL 61111

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Secondary Practice Location 1

Location 1642 W Hospital RdPaoli, IN 47454-9672 · Phone (812) 723-2811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paula M. Dobrowolska 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 ID1850614199

PECOS Enrollment IDI20230726001897

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Paula Dobrowolska reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Central Ohio Anesthesia LLC

395 mi

Anesthesiology

601 STATE ROUTE 664 N
Logan, OH 43138

Reassigned Medicare billing, Indiana enrollment
14 clinicians in this Medicare group

NPI 1700100419 (740) 983-0397

Prowers County Hospital District

776 mi

Critical Access

401 KENDALL DRIVE
Lamar, CO 81052

Reassigned Medicare billing, Colorado enrollment
115 clinicians in this Medicare group

NPI 1821052929 (719) 336-4343

Utah Gastroenterology LLC

1,184 mi

Gastroenterology

620 EAST MEDICAL DRIVE, SUITE 205
Bountiful, UT 84010

Reassigned Medicare billing, Utah enrollment
79 clinicians in this Medicare group

NPI 1457393761 (801) 298-0057

Nph Anesthesia Of Utah, LLC

1,185 mi

Anesthesiology

5475 S 500 E
Ogden, UT 84405

Reassigned Medicare billing, Utah enrollment
164 clinicians in this Medicare group

NPI 1366077273 (469) 505-1609

Utah Anesthesia, LLC

1,188 mi

Nurse Anesthetist, Certified Registered

1393 E SEGO LILY DR STE 3
Sandy, UT 84092

Reassigned Medicare billing, Utah enrollment
20 clinicians in this Medicare group

NPI 1235626417 (801) 495-5725

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.

27 services27 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.

15 services15 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

Hospital Affiliations CMS Care Compare

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

American Fork Hospital

Acute Care Hospitals · American Fork, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460023

Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61111 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

KATHLEEN M. SCHROEDER C.R.N.A.

Nurse Anesthetist, Certified Registered

2202 HARLEM RD
LOVES PARK, IL 61111

Winnebago County (815) 877-4848

DR. VINCENT J. QUINLAN M.D.

Anesthesiology

2202 HARLEM RD
LOVES PARK, IL 61111

Winnebago County (815) 877-4848

KELLY N. CARROLL CRNA

Nurse Anesthetist, Certified Registered

2202 HARLEM RD
LOVES PARK, IL 61111

Winnebago County (815) 877-4848

RITA K. BRAMLEY RN

Nurse Anesthetist, Certified Registered

2202 HARLEM RD
LOVES PARK, IL 61111

Winnebago County (815) 877-4848

DR. LENNEY G. KIZHAKEPUNNUR M.D.

Anesthesiology

2202 HARLEM RD, SUITE 200
LOVES PARK, IL 61111

Winnebago County (815) 877-4848

DANIEL B CLAUNCH CRNA

Nurse Anesthetist, Certified Registered

2202 HARLEM RD
LOVES PARK, IL 61111

Winnebago County (815) 877-4848

DR. LISA P SOLOMON D.O.

Anesthesiology

2202 HARLEM RD, SUITE 200
LOVES PARK, IL 61111

Winnebago County (815) 877-4848

DR. NATHAN J HAHN M.D.

Anesthesiology

2202 HARLEM RD, SUITE 200
LOVES PARK, IL 61111

Winnebago County (815) 877-4848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paula Dobrowolska's NPI number?

The NPI number for Paula Dobrowolska is 1417353319. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Where is Paula Dobrowolska located?

Paula Dobrowolska practices at 2202 Harlem Rd Suite 200, Loves Park, IL 61111. The listed phone number is (815) 877-4848.

What is Paula Dobrowolska's specialty?

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

Is Paula Dobrowolska enrolled in Medicare?

Yes. Paula Dobrowolska is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paula Dobrowolska's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Dobrowolska reassigns Medicare benefits to 5 organizations: South Central Ohio Anesthesia LLC (Logan, OH), Prowers County Hospital District (Lamar, CO), Utah Gastroenterology LLC (Bountiful, UT), Nph Anesthesia Of Utah, LLC (Ogden, UT) and Utah Anesthesia, LLC (Sandy, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paula Dobrowolska's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Dobrowolska accept?

Health plans from CareSource and Select Health list Paula Dobrowolska as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paula Dobrowolska affiliated with any hospitals?

According to CMS data, Paula Dobrowolska is affiliated with American Fork Hospital.

When was this NPI record last updated?

The NPPES record for Paula Dobrowolska was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.