PATRICK WEDOLOWSKI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1639776776

PATRICK WEDOLOWSKI (CRNA) is a healthcare provider. based in Middlesboro, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APN0000031068 (TN). The NPI Number for PATRICK WEDOLOWSKI (CRNA) is 1639776776

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK WEDOLOWSKI (CRNA)
NPI
1639776776
Phone
(331) 642-3566
Address
111 W CHESTER AVE APT 2A
Enumeration Date
1 October 2020
Last Update Date
14 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8653311111
Graduation Year
2021 (5 years ago)
PAC ID
4284028846
Group Practice PAC ID
6901795830
Professional Enrollment ID
I20220224000275
Address ID
TN379162307KN1901XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for PATRICK WEDOLOWSKI (CRNA)

  • 111 W CHESTER AVE APT 2A

    MIDDLESBORO, KY 409652809

    Phone: (331) 642-3566

    Mailing address matches the actual address.

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: 2022-02-24

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
I20220224000275ICertified Registered Nurse Anesthetist (Crna)TNTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 40965)

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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: 6901795830View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTN
-TN
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YAE
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

Can I cross-check PATRICK WEDOLOWSKI (CRNA) using NPI 1639776776?
NPI 1639776776 belongs to PATRICK WEDOLOWSKI (CRNA); compare other details if you need extra assurance.
Is PATRICK WEDOLOWSKI (CRNA) still an active registrant?
PATRICK WEDOLOWSKI (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to PATRICK WEDOLOWSKI (CRNA)?
PATRICK WEDOLOWSKI (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Kentucky is PATRICK WEDOLOWSKI (CRNA) registered?
Use Middlesboro, Kentucky as the headline location for PATRICK WEDOLOWSKI (CRNA) here.
Does PATRICK WEDOLOWSKI (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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