RUSSELL MATTHEW WOLBERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255481875

RUSSELL MATTHEW WOLBERS (CRNA) is a healthcare provider. based in Usaf academy, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN322992 (OH). The NPI Number for RUSSELL MATTHEW WOLBERS (CRNA) is 1255481875

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL MATTHEW WOLBERS (CRNA)
NPI
1255481875
Phone
(719) 333-5651
Address
4102 PINION DR
Enumeration Date
12 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6084731700
Graduation Year
2006 (20 years ago)
PAC ID
4385968569
Group Practice PAC ID
0749691335
Professional Enrollment ID
I20251120002323
Address ID
WI538119787HA454XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

803 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

Provider Addresses for RUSSELL MATTHEW WOLBERS (CRNA)

  • 4102 PINION DR

    USAF ACADEMY, CO 808402502

    Phone: (719) 333-5651

    Type: Location

  • 8684 ROYAL MELBOURNE CIR

    PEYTON, CO 808314045

    Phone: (702) 983-4747

    Type: Mailing

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: 2025-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150116000726ICertified Registered Nurse Anesthetist (Crna)IATBD
I20251120002323ICertified Registered Nurse Anesthetist (Crna)WITBD

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 endoscope2020$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 80840)

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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: 0749691335View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA

Reviews

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Frequently asked questions

What identifier follows RUSSELL MATTHEW WOLBERS (CRNA) across health systems?
The NPI 1255481875 uniquely identifies RUSSELL MATTHEW WOLBERS (CRNA) in U.S. healthcare data.
Is RUSSELL MATTHEW WOLBERS (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists RUSSELL MATTHEW WOLBERS (CRNA) as active.
Which specialty label fits RUSSELL MATTHEW WOLBERS (CRNA)?
NPPES ties RUSSELL MATTHEW WOLBERS (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit RUSSELL MATTHEW WOLBERS (CRNA) in Usaf Academy, Colorado?
For routing, start with Usaf Academy, Colorado for RUSSELL MATTHEW WOLBERS (CRNA), then verify phone and hours locally.
Can I export RUSSELL MATTHEW WOLBERS (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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