MR. BENJAMIN WADE BRUESTLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1659511970
Certified Registered Nurse Anesthetist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO
Provider Addresses for MR. BENJAMIN WADE BRUESTLE (CRNA)
1008 Minnequa Ave
Yale-New Haven Hospital
Pueblo, CO 810043733
Phone: (719) 557-4221
Fax: (719) 557-3834
Type: Location
3340 E GOLDSTONE DR
MERIDIAN, ID 836421026
Phone: (208) 302-9342
Fax: (208) 367-5180
Type: Mailing
Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802911244
Phone: (719) 557-4221
Fax: (719) 557-3834
Type: Mailing
Saint Mary-Corwin Medical Center, 1008, Minnequa Avenue, Pueblo, Pueblo County, Colorado, 81004, United States
YALE-NEW HAVEN HOSPITAL
PUEBLO, CO 810043733
Phone: (719) 557-4221
Fax: (719) 557-3834
Type: Location
3325 POCAHONTAS RD
BAKER CITY, OR 978141464
Phone: (541) 523-1797
Fax: (541) 523-1799
Type: Location
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: 2024-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090819000359 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
| I20230317001673 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
| I20241016003421 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81004)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | CO | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| - | WA | |
| Emergency Medicine | WA | |
| General Surgery | UT | |
| General Surgery | WA | |
| - | NC | |
| - | WA | |
| Emergency Medicine | VA | |
| Diagnostic Radiology, Interventional Radiology | WA | |
| Nurse Practitioner | WA |
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