MR. MARK ANDREYEVICH BOBROVNIKOV CRNA
NPI 1962129775
Nurse Anesthetist, Certified Registered in Centralia, WA
About Mr. Mark Andreyevich Bobrovnikov Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK ANDREYEVICH BOBROVNIKOV CRNA (NPI 1962129775) is an individual nurse anesthetist, certified registered in Centralia, Washington, licensed in Washington (AP70080711) and active in the NPI registry since October 2022. He is affiliated with Providence Centralia Hospital and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Mark Andreyevich Bobrovnikov 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Centralia Hospital
Acute Care Hospitals · Centralia, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CENTRALIA, WA 98531
CENTRALIA, WA 98531
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 Mark Bobrovnikov's NPI number?
The NPI number for Mark Bobrovnikov is 1962129775. It was assigned to this individual provider in the NPPES registry on October 24, 2022.
Where is Mark Bobrovnikov located?
Mark Bobrovnikov practices at 914 S Scheuber Rd, Centralia, WA 98531. The listed phone number is (360) 736-2803.
What is Mark Bobrovnikov's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mark Bobrovnikov enrolled in Medicare?
Yes. Mark Bobrovnikov 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.
Is Mark Bobrovnikov affiliated with any hospitals?
According to CMS data, Mark Bobrovnikov is affiliated with Providence Centralia Hospital.
When was this NPI record last updated?
The NPPES record for Mark Bobrovnikov was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Mr. Mark Andreyevich Bobrovnikov, CRNA · NPI 1962129775
Nurse Anesthetist, Certified Registered physician in Centralia, Washington. Individual provider, active in the CMS NPPES registry since October 24, 2022.
## Identity
- **NPI:** 1962129775 (Entity type: Individual)
- **Enumerated:** October 24, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP70080711 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 914 S SCHEUBER RD, Centralia, WA 98531-9027
- **Phone:** (360) 736-2803
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962129775) · Data from the CMS NPPES public registry.