COLTON SELVIDGE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1497395578

COLTON SELVIDGE (CRNA) is a healthcare provider. based in Sewickley, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN700062 (PA). The NPI Number for COLTON SELVIDGE (CRNA) is 1497395578

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
COLTON SELVIDGE (CRNA)
NPI
1497395578
Phone
Not provided
Address
1825 RUTGERS LN
Enumeration Date
7 January 2020
Last Update Date
10 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145251000
Graduation Year
2019 (7 years ago)
PAC ID
5890124895
Group Practice PAC ID
4082510383
Professional Enrollment ID
I20211001000510
Address ID
MO631282106SA10010RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for COLTON SELVIDGE (CRNA)

  • 1825 RUTGERS LN

    SEWICKLEY, PA 151438331

    Phone:

    Type: Mailing

  • 25 HECKEL RD

    MC KEES ROCKS, PA 151361651

    Phone: (412) 777-6161

    Type: Location

  • PO BOX 22407

    SAINT LOUIS, MO 631260407

    Phone: (636) 386-7222

    Fax: (636) 386-7810

    Type: Mailing

  • 10010 KENNERLY RD

    SAINT LOUIS, MO 631282106

    Phone: (636) 386-7222

    Fax: (636) 386-7222

    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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

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: 2021-10-01

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
I20211001000510ICertified Registered Nurse Anesthetist (Crna)MOTBD

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
00812Anesthesia for exam of colon using an endoscope2323$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2020$0
01402Anesthesia for procedure for total knee joint replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 15143)

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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: 4082510383View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
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 YMO
Certified Registered Nurse Anesthetist (Crna)MO
Anesthesiology AssistantMO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What NPI should I save for COLTON SELVIDGE (CRNA)?
Save NPI 1497395578 if you need a stable reference for COLTON SELVIDGE (CRNA).
Is COLTON SELVIDGE (CRNA) active in the national directory?
COLTON SELVIDGE (CRNA)'s public NPI profile is in an active state.
What does COLTON SELVIDGE (CRNA) treat or focus on?
Patients typically see COLTON SELVIDGE (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does COLTON SELVIDGE (CRNA) practice in Pennsylvania?
You will see Sewickley, Pennsylvania on file for COLTON SELVIDGE (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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