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

Individual provider Registered Nurse · NPI 1255540340

Phillip Conwell Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Bragg, California. Qualified in 1986, 40 years ago. Practices with Progressive Anesthesia Consultants of California, a 17-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2007
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

700 River Dr
Fort Bragg, CA 95437-5403
Phone: (707) 961-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN405621 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1064 (CA)

Record details

NPI number1255540340
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Progressive Anesthesia Consultants Of California — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Bragg