MATTHEW ANDREW BOLSOY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1417154428
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA
Provider Addresses for MATTHEW ANDREW BOLSOY (CRNA)
1706 W Main St Ste 113
Battle Ground, WA 986044320
Phone: (360) 723-0872
Fax: (360) 502-9283
Type: Location
400 NE Mother Joseph Pl
Vancouver, WA 986643200
Phone: (360) 828-5396
Type: Location
2211 NE 139th St
Vancouver, WA 986862742
Phone: (360) 828-5396
Fax: (360) 502-9283
Type: Location
PeaceHealth Southwest Medical Center, 400, Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States
VANCOUVER, WA 986643200
Phone: (360) 828-5396
Type: Location
1615 DELAWARE ST
LONGVIEW, WA 986322367
Phone: (360) 414-2000
Fax: (360) 414-7638
Type: Location
210, Northeast 87th Avenue, Image, Vancouver, Clark County, Washington, 98664, United States
VANCOUVER, WA 986641988
Phone: (360) 828-5396
Fax: (360) 502-9283
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: 2009-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080401000623 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
| I20091105000535 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 14 | 14 | $0 |
Insurance plans in this area (ZIP 98604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| General Surgery, Thoracic Surgery | WA | |
| - | WA | |
| H E M A T O L O G Y | CA | |
| Nurse Practitioner | WA | |
| - | WA | |
| P S Y C H I A T R Y | WA | |
| - | WA | |
| P S Y C H I A T R Y | VA | |
| - | OR |
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