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MR. RANDY RAY WIENTJES C.R.N.A.
NPI 1154352045
Nurse Anesthetist, Certified Registered in Metropolis, IL

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
3042 LAKEVIEW DR, METROPOLIS, IL 62960(618) 524-9217(618) 524-2158 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Randy Ray Wientjes C.r.n.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDY RAY WIENTJES C.R.N.A. (NPI 1154352045) is an individual nurse anesthetist, certified registered in Metropolis, Illinois, licensed in Illinois (209-004142) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Massac Memorial Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1154352045
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. RANDY RAY WIENTJESCredential: C.R.N.A.
Location Address3042 LAKEVIEW DRMetropolis, IL 62960-3119
Mailing Address3042 Lakeview DrMetropolis, IL 62960-3119 · (618) 524-9217 · Fax (618) 524-2158
Phone(618) 524-9217
Fax(618) 524-2158
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 9, 2015
✔ NPI 1154352045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in IL · 209-004142✔ Licensed in SD · CR000381✔ Licensed in KY · 3001002
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3042 LAKEVIEW DR, Metropolis, IL 62960
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Other Identifiers 6

Medicaid74007063KY
Medicare PIN0248433KY
OtherP01099568KY · Rail Road Medicare
Medicare PIN00937007KY
Medicare UPINR18293IL
Medicare PIN967170IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Randy Ray Wientjes C.r.n.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365340767
PECOS Enrollment IDI20031223000086, I20061031000168
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Randy Wientjes reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tas Of Illinois, LLC
1.9 mi
Nurse Anesthetist, Certified Registered
1811 E 5 STREET
Metropolis, IL 62960
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1548636418 (240) 566-1600
Massac Memorial Hospital
2.4 mi
Rural Health
28 CHICK ST STE 100
Metropolis, IL 62960
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1790788578 (Illinois)
  • 16 clinicians in this Medicare group
NPI 1356968275 (618) 524-8381
West Kentucky Anesthesia LLC
7.9 mi
Nurse Anesthetist, Certified Registered
2419 NEW HOLT RD
Paducah, KY 42001
  • Reassigned Medicare billing, Kentucky enrollment
  • 7 clinicians in this Medicare group
NPI 1548967458 (270) 845-4300
Way Better Anesthesia ,llc
9.1 mi
Nurse Anesthetist, Certified Registered
1130 LONE OAK RD STE 2
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
NPI 1134817349 (270) 538-9862
Innovative Gasworks
9.1 mi
Anesthesiology
1130 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1023966595 (270) 415-0245
Ferrell Hospital Community Foundation
38 mi
Multi-Specialty
HARRISBURG SMALL STREET CLINIC, 250 SMALL STREET
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 74 clinicians in this Medicare group
NPI 1124905351 (618) 294-8264

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massac Memorial Hospital

Critical Access Hospitals · Metropolis, IL
OwnershipProprietary
CMS Certification Number141323
Location28 Chick Street, PO Box 850Metropolis, IL 62960 · Massac County
Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Wientjes's NPI number?

The NPI number for Randy Wientjes is 1154352045. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Randy Wientjes located?

Randy Wientjes practices at 3042 Lakeview Dr, Metropolis, IL 62960. The listed phone number is (618) 524-9217.

What is Randy Wientjes's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Randy Wientjes enrolled in Medicare?

Yes. Randy Wientjes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Randy Wientjes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Wientjes reassigns Medicare benefits to 6 organizations: Tas Of Illinois, LLC (Metropolis, IL), Massac Memorial Hospital (Metropolis, IL), West Kentucky Anesthesia LLC (Paducah, KY), Way Better Anesthesia ,llc (Paducah, KY), Innovative Gasworks (Paducah, KY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randy Wientjes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Wientjes accept?

Health plans from Anthem Blue Cross and Blue Shield list Randy Wientjes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Randy Wientjes affiliated with any hospitals?

According to CMS data, Randy Wientjes is affiliated with Massac Memorial Hospital and Ferrell Hospital Community Foundations.

When was this NPI record last updated?

The NPPES record for Randy Wientjes was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.