MICHAEL R WENSLOW (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376857078

MICHAEL R WENSLOW (CRNA) is a healthcare provider. based in Blue ridge, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN181342 (GA). The NPI Number for MICHAEL R WENSLOW (CRNA) is 1376857078

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL R WENSLOW (CRNA)
NPI
1376857078
Phone
(706) 632-3711
Address
2855 OLD HIGHWAY 5
Enumeration Date
5 August 2010
Last Update Date
23 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048518000
Graduation Year
2010 (16 years ago)
PAC ID
2264624162
Group Practice PAC ID
5496134348
Professional Enrollment ID
I20101011000853
Address ID
GA303421606AT1000XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for MICHAEL R WENSLOW (CRNA)

  • 2855 OLD HIGHWAY 5

    BLUE RIDGE, GA 305136248

    Phone: (706) 632-3711

    Fax: (706) 946-4430

    Type: Mailing

  • 417 W 3RD AVE

    ALBANY, GA 317011943

    Phone: (229) 312-1000

    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: 2010-10-11

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
I20101011000853ICertified Registered Nurse Anesthetist (Crna)GATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30513)

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Provider's Procedures

MICHAEL R WENSLOW (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETGA00142Anesthesia for lens surgery6156
CERTIFIED REGISTERED NURSE ANESTHETGA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2726

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: 5496134348View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YGA

Reviews

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Frequently asked questions

What number should I use to identify MICHAEL R WENSLOW (CRNA) for billing?
Administrative and clinical systems typically use NPI 1376857078 for MICHAEL R WENSLOW (CRNA).
Does the public listing show MICHAEL R WENSLOW (CRNA) as active?
MICHAEL R WENSLOW (CRNA)'s NPI record reflects an active status in NPPES.
Which specialty label fits MICHAEL R WENSLOW (CRNA)?
NPPES ties MICHAEL R WENSLOW (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL R WENSLOW (CRNA)?
MICHAEL R WENSLOW (CRNA) is associated with Blue Ridge, Georgia in the same public data insurers reference.
Can I export MICHAEL R WENSLOW (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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