KATHRYN COLLEEN DEWILDE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1548409709

KATHRYN COLLEEN DEWILDE (CRNA) is a healthcare provider. based in San jose, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 3780 (CA). The NPI Number for KATHRYN COLLEEN DEWILDE (CRNA) is 1548409709

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN COLLEEN DEWILDE (CRNA)
NPI
1548409709
Phone
(408) 885-5000
Address
751 S BASCOM AVE
Enumeration Date
11 February 2009
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5305298000
Graduation Year
2008 (18 years ago)
PAC ID
0648321216
Group Practice PAC ID
3678897915
Professional Enrollment ID
I20090623000249
Address ID
CA960804327RE2550XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:17State licenses:2Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

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Provider Addresses for KATHRYN COLLEEN DEWILDE (CRNA)

  • Santa Clara Valley Medical Center, 751, South Bascom Avenue, Buena Vista, San Jose, Santa Clara County, California, 95128, United States

    ANESTHESIOLOGY DEPT

    SAN JOSE, CA 951282604

    Phone: (408) 885-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090623000249ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope3938$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 95128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678897915View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)OH
-CA
Certified Registered Nurse Anesthetist (Crna)MI
-FL
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)PA
Anesthesiology, Internal MedicineOR

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Frequently asked questions

What identifier follows KATHRYN COLLEEN DEWILDE (CRNA) across health systems?
The NPI 1548409709 uniquely identifies KATHRYN COLLEEN DEWILDE (CRNA) in U.S. healthcare data.
Should I treat KATHRYN COLLEEN DEWILDE (CRNA) as an active provider?
Patients and plans typically see KATHRYN COLLEEN DEWILDE (CRNA) as active in the national extract.
What does the directory say KATHRYN COLLEEN DEWILDE (CRNA) does?
Insurance directories may phrase it differently, but here KATHRYN COLLEEN DEWILDE (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit KATHRYN COLLEEN DEWILDE (CRNA) in San Jose, California?
For routing, start with San Jose, California for KATHRYN COLLEEN DEWILDE (CRNA), then verify phone and hours locally.
Can I export KATHRYN COLLEEN DEWILDE (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.