Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Calvin Mulyadi, CRNA

Individual provider Registered Nurse · NPI 1134897317

Calvin Mulyadi, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Seattle, Washington. Qualified in 2024, 2 years ago. Practices with Virginia Mason Medical Center, a 867-clinician group and accepts Medicare assignment. Licensed in Alabama and Washington.

Years since qualifying
2
Licensed in
AL, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1100 9th Ave
Seattle, WA 98101-2756
Phone: (206) 223-6980
Fax: (206) 223-6982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP61559160 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 1-183227 (AL)

Record details

NPI number1134897317
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 1, 2021
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Virginia Mason Medical Center — 867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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