CHARLES R WOODRUFF (CRNA) – Certified Registered Nurse Anesthetist, NPI 1700956877

CHARLES R WOODRUFF (CRNA) is a healthcare provider. based in Douglas, Wyoming. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 23694.0835 (WY). The NPI Number for CHARLES R WOODRUFF (CRNA) is 1700956877

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES R WOODRUFF (CRNA)
NPI
1700956877
Phone
(307) 359-8667
Address
111 S 5TH ST
Enumeration Date
8 November 2006
Last Update Date
20 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
6709786965
Group Practice PAC ID
2264340843
Professional Enrollment ID
I20070117000510
Address ID
WY826332434Do111XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

70 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WY

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Provider Addresses for CHARLES R WOODRUFF (CRNA)

  • 111, 5th Street, Castle Rock, Douglas County, Colorado, 80104, United States

    DOUGLAS, WY 826332434

    Phone: (307) 359-8667

    Type: Location

  • Memorial Hospital of Converse County, 111, South 5th Street, Douglas, Converse County, Wyoming, 82633, United States

    DOUGLAS, WY 82633

    Phone: (307) 359-8667

    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: 2007-01-17

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
I20070117000510ICertified Registered Nurse Anesthetist (Crna)WYTBD

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
00142Anesthesia for lens surgery6867$0
00630Anesthesia for other procedure on lower spine1111$0
View full utilization report →

Insurance plans in this area (ZIP 82633)

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Provider's Procedures

CHARLES R WOODRUFF (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWY00142Anesthesia for lens surgery138132

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: 2264340843View full group profile
NameSpecialtyState
Diagnostic Radiology, Nuclear MedicineNJ
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY
Family PracticeMO
Emergency MedicineOR
A N E S T H E S I O L O G YWY
-CA
Hand Surgery, Orthopedic SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YNY
-WY

Reviews

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Frequently asked questions

Where can patients find CHARLES R WOODRUFF (CRNA)'s NPI?
You can confirm CHARLES R WOODRUFF (CRNA) with NPI 1700956877; it appears in the national provider directory.
Does this profile mean CHARLES R WOODRUFF (CRNA) is currently active?
Yes — CHARLES R WOODRUFF (CRNA) appears active in the national provider directory.
Does CHARLES R WOODRUFF (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for CHARLES R WOODRUFF (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for CHARLES R WOODRUFF (CRNA)?
We surface Douglas, Wyoming for CHARLES R WOODRUFF (CRNA) based on available NPPES addresses.
What if Douglas, Wyoming seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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