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WOODLAND PARK ANESTHESIA LLC
NPI 1417249996
Nurse Anesthetist, Certified Registered in Woodland Park, CO

Active since May 03, 2011
16420 W US HIGHWAY 24, WOODLAND PARK, CO 80863(719) 687-9989 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Woodland Park Anesthesia Llc NPPES

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

WOODLAND PARK ANESTHESIA LLC (NPI 1417249996) is a healthcare organization registered as a nurse anesthetist, certified registered in Woodland Park, Colorado and active in the NPI registry since May 2011. The organization lists Lonnie W Clark, President, as its authorized official.

NPPES Registry Identity

NPI1417249996
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameWOODLAND PARK ANESTHESIA LLC
Location Address16420 W US HIGHWAY 24Woodland Park, CO 80863-8760
Mailing AddressPo Box 9040Woodland Park, CO 80866-9040 · (719) 900-3960
Phone(719) 687-9989
Organization SubpartNo
Authorized OfficialLonnie W ClarkPresident · (806) 790-3928
Enumeration DateMay 3, 2011
Last NPPES UpdateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1417249996 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
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.
16420 W US HIGHWAY 24, Woodland Park, CO 80863
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Other Identifiers 2

OtherCOAAA0139CO · Medicare Ptan
Medicaid09932275CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodland Park Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Woodland Park Anesthesia LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Lonnie Clark, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598777450
16420 W US HIGHWAY 24
Woodland Park, CO 80863
(806) 790-3928
✔ PECOSSame address
Brian Farstad, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629216437
16420 W US HIGHWAY 24 PIKES PEAK REGIONAL HOSPITAL
Woodland Park, CO 80863
(607) 207-7233
✔ PECOS0.4 mi
Rochelle Davis
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184182693
8000 E MAPLEWOOD AVE STE 200
Greenwood Village, CO 80111
(303) 785-4700
✔ PECOS✔ Accepts Medicare44 mi

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

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 Woodland Park Anesthesia LLC's NPI number?

The NPI number for Woodland Park Anesthesia LLC is 1417249996. It was assigned to this organization in the NPPES registry on May 3, 2011.

Where is Woodland Park Anesthesia LLC located?

Woodland Park Anesthesia LLC is located at 16420 W Us Highway 24, Woodland Park, CO 80863. The listed phone number is (719) 687-9989.

What is Woodland Park Anesthesia LLC's specialty?

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

Is Woodland Park Anesthesia LLC enrolled in Medicare?

Yes. Woodland Park Anesthesia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Woodland Park Anesthesia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Woodland Park Anesthesia LLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Woodland Park Anesthesia LLC was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.