Individual provider Active NPI

James Woelk, CRNA

  • Certified Registered Nurse Anesthetist
  • Gunnison, CO
National Provider Identifier
1336137173
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
64320 Issued in CO
Practice address
112 W Spencer Ave Ste B
Gunnison, CO 81230-2546
Phone
(303) 422-9438
NPI assigned
Oct 6, 2005
Last updated
May 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 64320 CO Primary
Certified Registered Nurse Anesthetist 367500000X 55574 KS

Addresses

Primary practice location

112 W Spencer Ave Ste B
Gunnison, CO 81230-2546

Mailing address

PO Box 668
Arvada, CO 80001-0668
Phone (303) 422-9438

Other practice location 1

146 Meadowlark Trl
Gunnison, CO 81230-9229
Phone (970) 596-9575

Other identifiers 5

IdentifierTypeStateIssuer
07643208MedicaidCO
GU06356OtherCOCO BCBS INDIVIDUAL
200426610AMedicaidKS
M35816OtherCOCO WORK COMP
145469OtherKSBCBS OF KANSAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
64320COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association Past Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
South Arlington Surgical Providers, LLC PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1336137173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800010668",
            "telephone_number": "303-422-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W SPENCER AVE STE B",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302546",
            "telephone_number": "303-422-9438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Meadowlark Trl",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "CO",
            "postal_code": "812309229",
            "country_code": "US",
            "telephone_number": "970-596-9575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOELK",
        "first_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "64320",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07643208",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO BCBS INDIVIDUAL",
            "identifier": "GU06356",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200426610A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO WORK COMP",
            "identifier": "M35816",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "145469",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.