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

Kenneth Cushman

Individual provider Certified Registered Nurse Anesthetist · NPI 1851562847

Kenneth Cushman is a Certified Registered Nurse Anesthetist (CRNA) in Vancouver, Washington. Qualified in 2007, 19 years ago. Practices with Premier Anesthesia of New York, PC, a 49-clinician group and accepts Medicare assignment. Licensed in Georgia, Iowa and Washington.

Years since qualifying
19
Licensed in
GA, IA, WA
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

514 NW 49th St
Vancouver, WA 98663-1211
Phone: (360) 936-8638
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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 AP60332822 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN195823 CRNA (GA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence D119508 (IA)

Record details

NPI number1851562847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2008
Last updated in NPPESJuly 13, 2015
Mailing address514 Nw 49th St, Vancouver, WA 98663-1211

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Premier Anesthesia Of New York, P.C. — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vancouver