GREGORY T ULTZSCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194764662

GREGORY T ULTZSCH (CRNA) is a healthcare provider. based in Wichita, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 54620 (KS). The NPI Number for GREGORY T ULTZSCH (CRNA) is 1194764662

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY T ULTZSCH (CRNA)
NPI
1194764662
Phone
(800) 374-5326
Address
PO BOX 2897
Enumeration Date
6 June 2006
Last Update Date
20 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162685000
Graduation Year
1998 (28 years ago)
PAC ID
8921042797
Group Practice PAC ID
7214849710
Professional Enrollment ID
I20050613000889
Address ID
KS672143821WI929XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

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Provider Addresses for GREGORY T ULTZSCH (CRNA)

  • Wichita Post Office, West Harry Street, Wichita, Sedgwick County, Kansas, 67209, United States

    WICHITA, KS 672012897

    Phone: (800) 374-5326

    Fax: (800) 374-7656

    Type: Mailing

  • Via Christi Hospital Saint Francis, 929, North Saint Francis Street, Wichita, Sedgwick County, Kansas, 66214, United States

    WICHITA, KS 672143821

    Phone: (800) 374-5326

    Fax: (800) 374-7656

    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: 2005-06-13

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
I20050613000889ICertified Registered Nurse Anesthetist (Crna)KSTBD

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
01402Anesthesia for procedure for total knee joint replacement4343$0
01214Anesthesia for total hip replacement1414$0
00520Anesthesia for other closed procedure on chest1111$0
View full utilization report →

Insurance plans in this area (ZIP 67201)

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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: 7214849710View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Anesthesiology, Critical Care (Intensivists)MO
Certified Registered Nurse Anesthetist (Crna)KS
Anesthesiology, Critical Care (Intensivists)KS
-KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Anesthesiology, Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

What is the standard ID for GREGORY T ULTZSCH (CRNA) in the U.S.?
In the U.S., GREGORY T ULTZSCH (CRNA) is identified by NPI 1194764662.
Is GREGORY T ULTZSCH (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists GREGORY T ULTZSCH (CRNA) as active.
What services align with GREGORY T ULTZSCH (CRNA)'s listing?
GREGORY T ULTZSCH (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is GREGORY T ULTZSCH (CRNA) tied to Wichita, Kansas?
If you are local to Wichita, Kansas, GREGORY T ULTZSCH (CRNA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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