Individual provider Active NPI

Jeffrey Dane Wolgemuth II, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, NC
National Provider Identifier
1851857007
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
126329 Issued in NC
Practice address
2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone
(252) 752-2140
Fax
(252) 689-6502
NPI assigned
Feb 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 126329 NC Primary
Registered Nurse 163W00000X 258775 NC

Addresses

Primary practice location

2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770

Mailing address

2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone (252) 752-2140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190612000519 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860725538 Reassigns benefits to 7 organizations
I20250310001164 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860725538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Services PAGroup PAC ID 7012937105, 54 clinicians
Carolinaeast Medical CenterGroup PAC ID 1557272564, 67 clinicians
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 757-3636

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8111

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.38 of 100Reported as group
Quality
77.5
Improvement activities
20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126329NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Health Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince May 2, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 21, 2024 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Mar 24, 2025 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Apr 30, 2023 Accepting new patients
Carolinaeast Medical Center CurrentSince Jun 19, 2023 Accepting new patients
East Carolina Health CurrentSince Jul 1, 2021 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Mar 24, 2025 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Apr 30, 2023 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Jun 1, 2019 Accepting new patients
Carolinaeast Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2023 Accepting new patients

Locations

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2210 Hemby Ln
Greenville, NC 27834
Phone (252) 551-3000

1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

Organizations & group practices 11

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 2

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1851857007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 W ARLINGTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343770",
            "telephone_number": "252-752-2140",
            "fax_number": "252-689-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 W ARLINGTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343770",
            "telephone_number": "252-752-2140",
            "fax_number": "252-689-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLGEMUTH",
        "first_name": "JEFFREY",
        "middle_name": "DANE",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "126329",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "258775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.