Individual provider Active NPI

Joshua Matthew Wolf, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Carson, CO
National Provider Identifier
1649274333
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9189812 Issued in FL
Practice address
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Phone
(719) 526-7000
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 AP60812176 WA
Certified Registered Nurse Anesthetist 367500000X ARNP9189812 FL Primary

Addresses

Primary practice location

1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604

Mailing address

15570 Castlegate CT
Colorado Springs, CO 80921-1809
Phone (813) 731-9119

Other identifiers 2

IdentifierTypeStateIssuer
304732600MedicaidFL
G8044OtherFLBCBS FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240228002733 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244126407 Reassigns benefits to 1 organization
I20241127001536 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244126407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians

Practice addresses (Care Compare)

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 459-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
94.88
Promoting interoperability
100
Improvement activities
40
Cost
79.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000883CAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Devils Lake CurrentSince Apr 22, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2019 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2015 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Apr 22, 2020 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Nov 22, 2024 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Nov 1, 2017 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jan 30, 2024 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Nov 22, 2024 Accepting new patients
Anesthesia Associates of Pinellas County Past Accepting new patients
Laser Spine Institute, LLC Past Accepting new patients
Anesthesia Simplified LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
Metro Anesthesiology Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Ultimate Anesthesiology LLC Past Accepting new patients
Baycare Anesthesia Associates LLC Past Accepting new patients
American Anesthesiology Associates of Florida, Inc. Past Accepting new patients
Lockwood & Steely, MD'S, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients
James G Hankerson PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Bayfront Anesthestia Services PA Past Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

300 Jeffords St
Ste B
Clearwater, FL 33756
Phone (727) 441-1524

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

3290 Solutions Ctr
Chicago, IL 60677

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

Organizations & group practices 22

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.

View all 22

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1649274333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15570 CASTLEGATE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809211809",
            "telephone_number": "813-731-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR UNIT MEDDAC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JOSHUA",
        "middle_name": "MATTHEW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60812176",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9189812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304732600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "G8044",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.