DWAYNE KAPULE – Certified Registered Nurse Anesthetist, NPI 1578020194

DWAYNE KAPULE is a healthcare provider. based in Salem, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 201404876RN (OR). The NPI Number for DWAYNE KAPULE is 1578020194

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DWAYNE KAPULE
NPI
1578020194
Phone
(503) 561-5200
Address
890 OAK ST SE
Enumeration Date
1 March 2019
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035615200
Graduation Year
2023 (3 years ago)
PAC ID
0941656243
Group Practice PAC ID
8628986668
Professional Enrollment ID
I20231023002641
Address ID
OR973013905SA890XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for DWAYNE KAPULE

  • 890 OAK ST SE

    SALEM, OR 973013905

    Phone: (503) 561-5200

    Type: Location

  • Asante Rogue Regional Medical Center, 2825, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975048332

    Phone: (541) 789-4228

    Type: Location

  • 547, Laurel Street, Central Point, Jackson County, Oregon, 97502, United States

    CENTRAL POINT, OR 975022346

    Phone: (541) 227-8127

    Type: Mailing

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: 2023-10-23

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
I20231023002641ICertified Registered Nurse Anesthetist (Crna)ORTBD

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 97301)

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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: 8628986668View full group profile
NameSpecialtyState
-OR
U R O L O G YOR
Physician AssistantOR
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YMT
Family PracticeOR
Plastic And Reconstructive SurgeryOR
Nurse PractitionerOR
A N E S T H E S I O L O G YWA
-OR

Reviews

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Frequently asked questions

Can I verify DWAYNE KAPULE with an NPI only?
You can start verification with NPI 1578020194 for DWAYNE KAPULE, then check state licensing separately.
Does CMS list DWAYNE KAPULE as active?
Yes — DWAYNE KAPULE is active in the NPI listing used on this page.
What is DWAYNE KAPULE best known for clinically?
Directory data describes DWAYNE KAPULE with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does DWAYNE KAPULE serve?
DWAYNE KAPULE's listing highlights Salem, Oregon; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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