Individual provider Active NPI

Matthew Zachary Wohlfahrt, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Joplin, MO
National Provider Identifier
1346878485
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024188074 Issued in VA
Practice address
100 Mercy Way
Joplin, MO 64804-4524
Phone
(417) 781-2727
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X R096962 AR
Certified Registered Nurse Anesthetist 367500000X 2020023108 MO
Certified Registered Nurse Anesthetist 367500000X 0024188074 VA Primary

Addresses

Primary practice location

100 Mercy Way
Joplin, MO 64804-4524

Mailing address

82 Buckingham Dr
Bella Vista, AR 72714-3823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, VA, DC, AR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200821002988 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709202666 Reassigns benefits to 1 organization
I20231023003166 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709202666 Reassigns benefits to 3 organizations
I20231024003921 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709202666 Reassigns benefits to 1 organization
I20260313003576 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709202666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Arkansas Professional CorporationGroup PAC ID 6406077460, 87 clinicians

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

3271 N Wimberly Dr
Suite 1
Fayetteville, AR 72703-4033
Phone (479) 404-2551

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R096962ARMDCritical Care Medicine Registered Nurse
2020023108MOMDCertified Registered Nurse Anesthetist
0024188074VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 29, 2023 Accepting new patients
Northstar Anesthesia of Missouri, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2020 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2026 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Sep 18, 2023 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Jun 27, 2024 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jun 27, 2024 Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

3271 N Wimberly Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 404-2551

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1346878485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BUCKINGHAM DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLFAHRT",
        "first_name": "MATTHEW",
        "middle_name": "ZACHARY",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AR",
            "license": "R096962",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2020023108",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024188074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.