Active NPI
Wesley M Wolcott, CRNA
- Certified Registered Nurse Anesthetist
- Pullman, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30005662
- Practice address
- 835 SE Bishop Blvd
Pullman, WA 99163-5512 - Phone
- (509) 332-2541
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30005662 | WA | Primary |
Addresses
Primary practice location
835 SE Bishop Blvd
Pullman, WA 99163-5512
Mailing address
835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911603497 | Other | WA | TAX ID |
| 1036443 | Medicaid | WA | |
| 9630989 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Hospital Inc | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251
501 Oak St
Nezperce, ID 83543
Phone (208) 937-2496
301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555
825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
Organizations & group practices 8
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.
-
dba Pullman Regional Hospital
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
dba Clearwater Valley Health
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
-
- Critical Access Hospital
- Orofino, ID
- NPI 1255449013
-
dba St. Mary's Health
- Critical Access Hospital
- Cottonwood, ID
- NPI 1841292307
-
dba Clearwater Valley Health
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
-
dba Kooskia Medical Clinic
- Family Medicine Physician
- Orofino, ID
- NPI 1891733747
-
dba Pullman Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pullman Regional Hospital
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1639289929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SE BISHOP BLVD",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635512",
"telephone_number": "509-332-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 SE BISHOP BLVD",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635512",
"telephone_number": "509-332-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "WESLEY",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30005662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "911603497",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1036443",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9630989",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.