Russell Matthew Wolbers, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN322992 Issued in OH

Practice address

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Phone

(719) 333-5651

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, WI2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Grandview Anesthesia PCGroup PAC ID 0749691335, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Finley Hospital Hospital, Dubuque, IA, CCN 160117
• Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grandview Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Dubuque, IA
  • NPI 1407458367

  Nurse Anesthetist, Certified Registered, WI

  Medicare reassignment Care Compare group NPD
• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790
  Medicare reassignment Care Compare group NPD
• Mercy Medical Center-Dyersville

  • Critical Access Hospital
  • Dyersville, IA
  • NPI 1205816725
  Medicare reassignment NPD
• Dodge Street Anesthesiologists PC

  • Anesthesiology Physician
  • Dubuque, IA
  • NPI 1972533040

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Care Compare affiliation
• The Finley Hospital

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1942392600
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255481875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8684 ROYAL MELBOURNE CIR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314045",
            "telephone_number": "702-983-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLBERS",
        "first_name": "RUSSELL",
        "middle_name": "MATTHEW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN322992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Marie Willert, FNP-BC
• Esther Lee Williams, LCSW
• Shawn Williams
• James Allen Willoughby, ATC
• Jon Eric Wilson, PT,DSC,OCS, SCS
• Jodi Kay Wotowey, ATC
• Ramon Yambo-Arias, M.D.
• Jessica Yang, PHARMD
• Jacqueline Lis Yurgil, D.O.
• Lusine M Zakharian, DO

• Certified Registered Nurse Anesthetist in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.