Active NPI
Elizabeth Gillum Wentling, CRNA
- Certified Registered Nurse Anesthetist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 249005
- Practice address
- 408 N Main St FL 2
Pueblo, CO 81003 - Phone
- (719) 584-4000
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11035876 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 249005 | TX | Primary |
Addresses
Primary practice location
408 N Main St FL 2
Pueblo, CO 81003
Mailing address
PO Box 560825
Denver, CO 80256-0825
Phone (719) 595-7580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0084 | Other | FL | BCBS |
| 033426000 | Medicaid | FL |
Other names 1
- Ms. Libby Wentling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1737192 | FL | MD | Family Medicine Physician |
| APRN11035876 | FL | MD | Certified Registered Nurse Anesthetist |
| 249005 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Colorado - Denver PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CPR Anesthesia, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Pueblo Pathology Group, PC | Current | Accepting new patients | |
| Bayfront Anesthestia Services PA | Past | Accepting new patients | |
| Guardian Anesthesia Services PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologist Associates PA | Past | Accepting new patients | |
| James G Hankerson PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Metro Anesthesiology Consultants PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Novamed Surgery Center of Colorado Springs, LLC | Past | Accepting new patients | |
| Advanced Anesthesia Associates LLC | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115
1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
408 N Main St
Fl 2
Pueblo, CO 81003
Phone (719) 584-4000
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 13
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.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1326436353
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Denver, CO
- NPI 1588453575
Nurse Anesthetist, Certified Registered
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Anatomic Pathology & Clinical Pathology Physician
- Pueblo, CO
- NPI 1275690588
-
dba Premier Surgery Center
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1750386322
-
- Anesthesiology Physician
- Dunedin, FL
- NPI 1124297650
-
- Anesthesiology Physician
- Hudson, FL
- NPI 1306889910
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942249271
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1730141474
Nurse Anesthetist, Certified Registered
-
dba Magnolia Anesthesia Consultants
- Anesthesiology Physician
- Tampa, FL
- NPI 1235332354
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1184263527
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1376183145
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1417596834
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1427689652
-
dba Parkview Medical Center
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1134751712
-
dba Parkview Pueblo West
- General Acute Care Hospital
- Pueblo West, CO
- NPI 1821720681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1790979219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560825",
"city": "DENVER",
"state": "CO",
"postal_code": "802560825",
"telephone_number": "719-595-7580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N MAIN ST FL 2",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81003",
"telephone_number": "719-584-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTLING",
"first_name": "ELIZABETH",
"middle_name": "GILLUM",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11035876",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "249005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G0084",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033426000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIBBY",
"last_name": "WENTLING",
"prefix": "MS.",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.