KEITH WANDOLOWSKI CRNA
NPI 1295989929
Nurse Anesthetist, Certified Registered in Ocoee, FL
About Keith Wandolowski Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH WANDOLOWSKI CRNA (NPI 1295989929) is an individual nurse anesthetist, certified registered in Ocoee, Florida, licensed in Massachusetts (268405) and active in the NPI registry since November 2008. He is affiliated with Spectrum Health, maintains a secondary practice location in Burlington, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Keith Wandolowski Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Keith Wandolowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OCOEE, FL 34761
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 Keith Wandolowski's NPI number?
The NPI number for Keith Wandolowski is 1295989929. It was assigned to this individual provider in the NPPES registry on November 7, 2008.
Where is Keith Wandolowski located?
Keith Wandolowski practices at 10000 W Colonial Dr, Ocoee, FL 34761. The listed phone number is (206) 850-9151.
What is Keith Wandolowski's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Keith Wandolowski enrolled in Medicare?
Yes. Keith Wandolowski 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 organization bills Medicare for Keith Wandolowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Wandolowski reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The 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 Keith Wandolowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Keith Wandolowski affiliated with any hospitals?
According to CMS data, Keith Wandolowski is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Keith Wandolowski was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Keith Wandolowski, CRNA · NPI 1295989929
Nurse Anesthetist, Certified Registered physician in Ocoee, Florida. Individual provider, active in the CMS NPPES registry since November 7, 2008.
## Identity
- **NPI:** 1295989929 (Entity type: Individual)
- **Enumerated:** November 7, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 268405 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 10000 W COLONIAL DR, Ocoee, FL 34761
- **Phone:** (206) 850-9151
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1821422007, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 2, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1295989929) · Data from the CMS NPPES public registry.