DR. RUDOLPH PAVLESICH III DNP, CRNA, FNP-BC
NPI 1609265065
Nurse Anesthetist, Certified Registered in Plymouth, NH
About Dr. Rudolph Pavlesich Iii Dnp, Crna, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUDOLPH PAVLESICH III DNP, CRNA, FNP-BC (NPI 1609265065) is an individual nurse anesthetist, certified registered in Plymouth, New Hampshire, licensed in New Hampshire (074985-23) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Orange Park.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rudolph Pavlesich Iii Dnp, Crna, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Rudolph Pavlesich reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth, NH 03264
- Reassigned Medicare billing, New Hampshire enrollment
- 219 clinicians in this Medicare group
Concord, NH 03301
- Reassigned Medicare billing, New Hampshire enrollment
- 98 clinicians in this Medicare group
Nashua, NH 03060
- Reassigned Medicare billing, New Hampshire enrollment
- 132 clinicians in this Medicare group
Richardson, TX 75082
- Reassigned Medicare billing, New Hampshire enrollment
- 87 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03264 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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 Rudolph Pavlesich's NPI number?
The NPI number for Rudolph Pavlesich is 1609265065. It was assigned to this individual provider in the NPPES registry on January 22, 2015.
Where is Rudolph Pavlesich located?
Rudolph Pavlesich practices at 16 Hospital Rd, Plymouth, NH 03264. The listed phone number is (603) 536-1120.
What is Rudolph Pavlesich's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Rudolph Pavlesich enrolled in Medicare?
Yes. Rudolph Pavlesich is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Rudolph Pavlesich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rudolph Pavlesich reassigns Medicare benefits to 4 organizations: Littleton Hospital Association (Plymouth, NH), Anesthesia Associates Professional Association (Concord, NH), North American Partners In Anesthesia New Hampshire LLP (Nashua, NH) and Medstream Anesthesia PLLC (Richardson, TX). 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 Rudolph Pavlesich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rudolph Pavlesich accept?
Health plans from Ambetter from NH Healthy Families list Rudolph Pavlesich 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.
When was this NPI record last updated?
The NPPES record for Rudolph Pavlesich was last updated on May 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Rudolph Pavlesich III, DNP, CRNA, FNP-BC · NPI 1609265065
Nurse Anesthetist, Certified Registered physician in Plymouth, New Hampshire. Individual provider, active in the CMS NPPES registry since January 22, 2015.
## Identity
- **NPI:** 1609265065 (Entity type: Individual)
- **Enumerated:** January 22, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 074985-23 (New Hampshire)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16 HOSPITAL RD, Plymouth, NH 03264-1126
- **Phone:** (603) 536-1120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Littleton Hospital Association (NPI 1033487582, Plymouth, NH); Anesthesia Associates Professional Association (NPI 1881791150, Concord, NH); North American Partners In Anesthesia New Hampshire LLP (NPI 1306838701, Nashua, NH); Medstream Anesthesia PLLC (NPI 1649616160, Richardson, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1609265065) · Data from the CMS NPPES public registry.