Walter Jesse Trudo, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R 0090514 Issued in OK

Practice address

3733 N. Business Dr.
Suite 101
Fayetteville, AR 72703

Phone

(479) 443-5476

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Taylor Surgery Center, LLC

  • Anesthesiology Physician
  • Fayetteville, AR
  • NPI 1740738897
  Medicare reassignment NPD
• Taylor Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fayetteville, AR
  • NPI 1093907339
  NPD
• Bentonville Anesthesia PLLC

  • Anesthesiology Physician
  • Bentonville, AR
  • NPI 1447281670

  Nurse Anesthetist, Certified Registered

  NPD (past)
• QHG of Springdale Inc

  • Neonatal-Perinatal Medicine Physician
  • Springdale, AR
  • NPI 1730292434
  NPD (past)
• Life Care Anesthesiologist PC

  • Anesthesiology Physician
  • Hillsdale, MI
  • NPI 1457390866

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Resource Anesthesia, P.C.

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1033162045

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1841243474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 SW HAYFIELD AVENUE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72713",
            "telephone_number": "479-659-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 N. BUSINESS DR.",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-443-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDO",
        "first_name": "WALTER",
        "middle_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R 0090514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHESIOLOGY",
            "identifier": "4704251198",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya R Triplett, D.D.S.
• Derinda Trobaugh
• Laurel Lynn Trotter, DDS
• Christopher Blaine Trout
• Robert B Trovillion, D.P.M.
• True Dermatology PLLC
• Rania Trulley, OTR
• Carolyn Bass Trumbo, MHPP
• Ruth Ellen Tubbs
• Amy Marie Tucker, LCSW

• Certified Registered Nurse Anesthetist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.