PULASKI ANESTHESIA SERVICES LLC
NPI 1780047506
Nurse Anesthetist, Certified Registered in Pulaski, TN

Active since March 30, 2016
1265 E COLLEGE ST, PULASKI, TN 38478(660) 826-5960 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2020, Mar 31, 2016 (2 updates tracked since 2016).

About Pulaski Anesthesia Services Llc NPPES

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

PULASKI ANESTHESIA SERVICES LLC (NPI 1780047506) is a healthcare organization registered as a nurse anesthetist, certified registered in Pulaski, Tennessee and active in the NPI registry since March 2016. The organization lists Robert Clemens, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780047506
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePULASKI ANESTHESIA SERVICES LLC
Location Address1265 E COLLEGE STPulaski, TN 38478-4541
Mailing AddressPo Box 1547Sedalia, MO 65302-1547 · (660) 826-5960 · Fax (660) 826-4852
Organization SubpartNo
Authorized OfficialRobert ClemensCeo · (660) 826-5960
Enumeration DateMarch 30, 2016
Last NPPES UpdateFebruary 21, 20202 updates tracked since enumeration
✔ NPI 1780047506 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
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.
1265 E COLLEGE ST, Pulaski, TN 38478

Other Identifiers 1

MedicaidQ021545TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pulaski Anesthesia Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Pulaski Anesthesia Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (12)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1225450646
1265 E COLLEGE ST
Pulaski, TN 38478
(615) 620-2320
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396788923
1607 N LOCUST AVE
Lawrenceburg, TN 38464
(931) 762-6571
✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760425409
725 S JAMES CAMPBELL BLVD
Columbia, TN 38401
(931) 728-5607
✔ Accepts Medicare28 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144668286
1224 TROTWOOD AVE
Columbia, TN 38401
(877) 319-7141
✔ Accepts Medicare29 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881730109
205 MARENGO ST
Florence, AL 35630
(256) 768-9191
✔ Accepts Medicare47 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699871897
135 E SWAN ST
Centerville, TN 37033
(660) 826-5960
✔ Accepts Medicare49 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043402043
185 HOSPITAL RD
Winchester, TN 37398
(931) 962-4061
✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306079397
2341 MCCALLIE AVE SUITE 402
Chattanooga, TN 37404
(423) 698-3309
✔ Accepts Medicare99 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649457391
1651 GUNBARREL RD STE 102
Chattanooga, TN 37421
(423) 308-0390
✔ PECOS✔ Accepts Medicare105 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437526704
877 JEFFERSON AVE
Memphis, TN 38103
(901) 448-5893
✔ PECOS✔ Accepts Medicare171 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063742484
1001 WEST ST
Carthage, NY 13619
(315) 952-5650
✔ Accepts Medicare858 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770813776
1001 WEST ST
Carthage, NY 13619
(315) 493-1000
✔ Accepts Medicare858 mi

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

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 Pulaski Anesthesia Services LLC's NPI number?

The NPI number for Pulaski Anesthesia Services LLC is 1780047506. It was assigned to this organization in the NPPES registry on March 30, 2016.

Where is Pulaski Anesthesia Services LLC located?

Pulaski Anesthesia Services LLC is located at 1265 E College St, Pulaski, TN 38478. The listed phone number is (660) 826-5960.

What is Pulaski Anesthesia Services LLC's specialty?

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

Is Pulaski Anesthesia Services LLC enrolled in Medicare?

Yes. Pulaski Anesthesia Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pulaski Anesthesia Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Pulaski Anesthesia Services LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pulaski Anesthesia Services LLC was last updated on February 21, 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.