MR. DAMON RANDOLPH WELLS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1366964710

MR. DAMON RANDOLPH WELLS (CRNA) is a healthcare provider. based in Fort lauderdale, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN9373461 (FL). The NPI Number for MR. DAMON RANDOLPH WELLS (CRNA) is 1366964710

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAMON RANDOLPH WELLS (CRNA)
NPI
1366964710
Phone
(954) 566-7590
Address
6401 N Federal Hwy
Enumeration Date
7 July 2017
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
8137808266
Graduation Year
2016 (10 years ago)
PAC ID
1557633989
Group Practice PAC ID
5193190718
Professional Enrollment ID
I20170821001311
Address ID
FL335427505ZE38135DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for MR. DAMON RANDOLPH WELLS (CRNA)

  • 6401 N Federal Hwy

    Fort Lauderdale, FL 333081427

    Phone: (954) 566-7590

    Type: Location

  • North Federal Highway, Fort Lauderdale, Broward County, Florida, 33394, United States

    FORT LAUDERDALE, FL 333081427

    Phone: (954) 566-7590

    Type: Location

  • 8601 SW 68TH CT APT 5

    MIAMI, FL 331437832

    Phone: (504) 621-5446

    Type: Mailing

  • 2500 HARBOR BLVD

    PORT CHARLOTTE, FL 339525000

    Phone: (941) 766-4125

    Fax: (941) 766-4101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-01-27 • Largest payer in this snapshot: Cumberland Pharmaceuticals, Inc. ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-08-21

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
I20170821001311ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00142Anesthesia for lens surgery259240$0
00145Anesthesia for retinal surgery5853$0
00103Anesthesia for procedure on eyelid5050$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2222$0
00140Anesthesia for other procedure on eye1313$0
View full utilization report →

Insurance plans in this area (ZIP 33308)

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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: 5193190718View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

Can I cross-check MR. DAMON RANDOLPH WELLS (CRNA) using NPI 1366964710?
NPI 1366964710 belongs to MR. DAMON RANDOLPH WELLS (CRNA); compare other details if you need extra assurance.
Active or inactive — what applies to MR. DAMON RANDOLPH WELLS (CRNA)?
You should see MR. DAMON RANDOLPH WELLS (CRNA) as active in CMS-hosted NPPES data.
What clinical focus is listed for MR. DAMON RANDOLPH WELLS (CRNA)?
At a glance, MR. DAMON RANDOLPH WELLS (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. DAMON RANDOLPH WELLS (CRNA) located near Fort Lauderdale?
MR. DAMON RANDOLPH WELLS (CRNA) currently maps to Fort Lauderdale, Florida in this extract.
Can I trust this NPI listing for MR. DAMON RANDOLPH WELLS (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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