DR. RUDOLPH PAVLESICH III DNP, CRNA, FNP-BC
NPI 1609265065
Nurse Anesthetist, Certified Registered in Plymouth, NH

Q: 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.

Q: What is Rudolph Pavlesich'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 Rudolph Pavlesich was last updated on May 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 22, 2015

16 HOSPITAL RD, PLYMOUTH, NH 03264(603) 536-1120 Get Directions Write a Review

NPPES record last updated: May 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2020, Jan 25, 2019 (2 updates tracked since 2019).

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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 maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1609265065

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDR. RUDOLPH PAVLESICH IIICredential: DNP, CRNA, FNP-BC

Location Address16 HOSPITAL RDPlymouth, NH 03264-1126

Mailing Address89 Stevens Hill RdNottingham, NH 03290-4802 · (904) 535-1875

Phone(603) 536-1120

Sole ProprietorYes

Enumeration DateJanuary 22, 2015

Last NPPES UpdateMay 17, 20202 updates tracked since enumeration

NPPES CertifiedMay 17, 2020

✔ NPI 1609265065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code367500000X

Licenses✔ Licensed in NH · 074985-23✔ Licensed in FL · ARNP9178468✔ Licensed in GA · 281215

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2017019797 (FL)

16 HOSPITAL RD, Plymouth, NH 03264

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Secondary Practice Location 1

Location 12001 Kingsley AveOrange Park, FL 32073-5148 · Phone (904) 276-5400

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

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

7%28 patients1/55-star benchmark: 100%

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

91%112 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.