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

Runa Chislum, CRNA

Individual provider Registered Nurse · NPI 1487203063

Runa Chislum, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Riverside, California. Qualified in 2021, 5 years ago. Practices with Samantha Polikowski Anesthesia Inc, a 35-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (951) 788-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001249 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95183592 (CA)

Record details

NPI number1487203063
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 6, 2019
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address4361 Suffolk St, Riverside, CA 92509-7812

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Samantha Polikowski Anesthesia Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Riverside