THOMAS BUKOWSKI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1225592249

THOMAS BUKOWSKI (CRNA) is a healthcare provider. based in Saint paul, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2212236 (MN). The NPI Number for THOMAS BUKOWSKI (CRNA) is 1225592249

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS BUKOWSKI (CRNA)
NPI
1225592249
Phone
Not provided
Address
360 SPRING ST APT 315
Enumeration Date
23 January 2019
Last Update Date
26 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122734097
Graduation Year
2021 (5 years ago)
PAC ID
0244623700
Group Practice PAC ID
7315986064
Professional Enrollment ID
I20220203002675
Address ID
MN554541450MI2450XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for THOMAS BUKOWSKI (CRNA)

  • 360 SPRING ST APT 315

    SAINT PAUL, MN 551024466

    Phone:

    Type: Mailing

  • 516 DELAWARE ST SE

    MINNEAPOLIS, MN 554550356

    Phone: (612) 625-8690

    Type: Location

  • 420 DELAWARE ST SE

    MINNEAPOLIS, MN 554550341

    Phone:

    Type: Mailing

  • 500 HARVARD ST SE

    MINNEAPOLIS, MN 554550363

    Phone: (612) 625-8690

    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: 2022-02-03

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
I20220203002675ICertified Registered Nurse Anesthetist (Crna)MNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55102)

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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: 7315986064View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YIA
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN

Reviews

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Frequently asked questions

What NPI should I save for THOMAS BUKOWSKI (CRNA)?
Save NPI 1225592249 if you need a stable reference for THOMAS BUKOWSKI (CRNA).
Is THOMAS BUKOWSKI (CRNA) currently active in the NPI registry?
CMS-published data lists THOMAS BUKOWSKI (CRNA) as an active registrant.
Does THOMAS BUKOWSKI (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for THOMAS BUKOWSKI (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place THOMAS BUKOWSKI (CRNA)?
The snapshot lists Saint Paul, Minnesota for THOMAS BUKOWSKI (CRNA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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