Organization Active NPI

Wave Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Battle Ground, WA
National Provider Identifier
1477402147
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WAVE ANESTHESIA LLC
Practice address
1706 W Main St Ste 113
Battle Ground, WA 98604-4320
Phone
(360) 773-6072
Fax
(360) 502-9283
NPI assigned
Jan 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Matthew Bolsoy, ARNP, CRNA, MAENPI 1417154428
Title
Owner/ Provider
Phone
(360) 773-6072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1706 W Main St Ste 113
Battle Ground, WA 98604-4320

Mailing address

1706 W Main St Ste 113
Battle Ground, WA 98604-4320
Phone (360) 773-6072

National Provider Directory

National Provider Directory

Locations

1706 W Main St
Ste 113
Battle Ground, WA 98604
Phone (360) 666-8418

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1477402147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W MAIN ST STE 113",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044320",
            "telephone_number": "360-773-6072",
            "fax_number": "360-502-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W MAIN ST STE 113",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044320",
            "telephone_number": "360-773-6072",
            "fax_number": "360-502-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "BOLSOY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "360-773-6072",
        "authorized_official_credential": "ARNP, CRNA, MAE"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.