Individual provider Active NPI

Adal Wolde, CRNA

  • Certified Registered Nurse Anesthetist
  • San Angelo, TX
National Provider Identifier
1750008777
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1097201 Issued in TX
Practice address
120 E Harris Ave
San Angelo, TX 76903-5904
Phone
(325) 653-6741
NPI assigned
Oct 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1097201 TX Primary

Addresses

Primary practice location

120 E Harris Ave
San Angelo, TX 76903-5904

Mailing address

3059 Dacy LN
San Angelo, TX 76904-4657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221115003293 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880062272 Reassigns benefits to 1 organization
I20250505003283 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880062272 Reassigns benefits to 2 organizations
I20260618001290 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880062272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monarch Anesthesia LLCGroup PAC ID 0941293708, 7 clinicians
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians
Tri-State Memorial HospitalGroup PAC ID 4082502422, 33 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2200

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (303) 438-3999

1221 Highland Ave
Clarkston, WA 99403-2829
Phone (509) 758-5511

1635 N Loop W
Greater Houston Anesthesiology
Houston, TX 77008-1532
Phone (713) 867-3300

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • Heart of the Rockies Regional Medical Center Hospital, Salida, CO, CCN 061322
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2026 Accepting new patients
Monarch Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 30, 2025 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2026 Accepting new patients

Locations

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1750008777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 DACY LN",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769044657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035904",
            "telephone_number": "325-653-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDE",
        "first_name": "ADAL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1097201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.