Active NPI
James Woelk, CRNA
- Certified Registered Nurse Anesthetist
- Gunnison, CO
National Provider Identifier
1336137173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 64320
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07643208 | Medicaid | CO | |
| GU06356 | Other | CO | CO BCBS INDIVIDUAL |
| 200426610A | Medicaid | KS | |
| M35816 | Other | CO | CO WORK COMP |
| 145469 | Other | KS | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64320 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinidad Area Health Association | Past | Accepting new patients | |
| Anesthesia Consulting Services, PA | Past | Accepting new patients | |
| South Arlington Surgical Providers, LLC | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Gunnison, CO
- NPI 1356339121
-
dba Mt. San Rafael Hospital Clinic
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1518070416
-
dba Same Day Surgicare
- Ambulatory Surgical Clinic/Center
- Arlington, TX
- NPI 1902844426
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.