ROBERT PLUNKETT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063430551

ROBERT PLUNKETT (CRNA) is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN108326 (LA). The NPI Number for ROBERT PLUNKETT (CRNA) is 1063430551

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT PLUNKETT (CRNA)
NPI
1063430551
Phone
(517) 787-6440
Address
774 W MICHIGAN AVE
Enumeration Date
17 July 2006
Last Update Date
6 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013211000
Graduation Year
2001 (25 years ago)
PAC ID
0547244261
Group Practice PAC ID
4183619216
Professional Enrollment ID
I20170403001999
Address ID
AR719017752HO1910XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,619 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in LA

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Provider Addresses for ROBERT PLUNKETT (CRNA)

  • 774, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492011909

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • North Causeway Boulevard, Metairie, Jefferson Parish, Louisiana, 70001, United States

    METAIRIE, LA 700023531

    Phone: (504) 779-5568

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170403001999ICertified Registered Nurse Anesthetist (Crna)ARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01112Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone5353$0
00702Anesthesia for biopsy of liver5252$0
00520Anesthesia for other closed procedure on chest3838$0
00532Anesthesia for access to central vein3434$0
01922Anesthesia for x-ray or radiation therapy2424$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183619216View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AR
A N E S T H E S I O L O G YAR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

What is the 10-digit NPI for ROBERT PLUNKETT (CRNA)?
ROBERT PLUNKETT (CRNA) — NPI 1063430551 — is the standard way to identify this listing.
Is ROBERT PLUNKETT (CRNA) listed as active for patients and plans?
The listing shows ROBERT PLUNKETT (CRNA) as active in the NPI system.
What is ROBERT PLUNKETT (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for ROBERT PLUNKETT (CRNA) here. Clinical services aligned with this taxonomy classification.
Where is ROBERT PLUNKETT (CRNA) based?
ROBERT PLUNKETT (CRNA) is tied to Jackson, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about ROBERT PLUNKETT (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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