RENEE WYBENGA
NPI 1457921074
Nurse Anesthetist, Certified Registered in Albuquerque, NM

Active since June 26, 2021Accepts Medicare Assignment
100 SUN AVE NE STE 650, ALBUQUERQUE, NM 87109(505) 260-4300 Get Directions Write a Review

NPPES record last updated: August 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2022, Jun 26, 2021 (2 updates tracked since 2021).

About Renee Wybenga NPPES

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

RENEE WYBENGA (NPI 1457921074) is an individual nurse anesthetist, certified registered in Albuquerque, New Mexico, licensed in New Mexico (68666) and active in the NPI registry since June 2021. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1457921074
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameRENEE WYBENGA
Location Address100 SUN AVE NE STE 650Albuquerque, NM 87109-4670
Mailing Address100 Sun Ave Ne Ste 650Albuquerque, NM 87109-4670
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 26, 2021
Last NPPES UpdateAugust 13, 20222 updates tracked since enumeration
NPPES CertifiedAugust 13, 2022
✔ NPI 1457921074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NM · 68666
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-167300 (AL)
100 SUN AVE NE STE 650, Albuquerque, NM 87109

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

Renee Wybenga 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 ID1557745718
PECOS Enrollment IDI20251210000494

Medicare Billing Reassignments

2

Medicare enrollment records show Renee Wybenga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
1100 CENTRAL AVE SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 151 clinicians in this Medicare group
Specialist
8208 CARRIAGE XING
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 28 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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.

Behavior Technician
100 SUN AVE NE STE 650
ALBUQUERQUE, NM 87109
Behavior Technician
100 SUN AVE NE STE 650
ALBUQUERQUE, NM 87109
Speech-Language Pathologist
100 SUN AVE NE STE 650
ALBUQUERQUE, NM 87109
Behavior Technician
100 SUN AVE NE STE 650
ALBUQUERQUE, NM 87109
Behavior Technician
100 SUN AVE NE STE 650
ALBUQUERQUE, NM 87109
Behavior Technician
100 SUN AVE NE STE 650
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology (Gynecology)
100 SUN AVE NE STE 650
ALBUQUERQUE, NM 87109
Behavior Technician
100 SUN AVE NE STE 650
ALBUQUERQUE, NM 87109

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 Renee Wybenga's NPI number?

The NPI number for Renee Wybenga is 1457921074. It was assigned to this individual provider in the NPPES registry on June 26, 2021.

Where is Renee Wybenga located?

Renee Wybenga practices at 100 Sun Ave NE Ste 650, Albuquerque, NM 87109. The listed phone number is (505) 260-4300.

What is Renee Wybenga's specialty?

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

Is Renee Wybenga enrolled in Medicare?

Yes. Renee Wybenga 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 Renee Wybenga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renee Wybenga reassigns Medicare benefits to 2 organizations: Anesthesia Associates Of New Mexico P C (Albuquerque, NM) and Crna Associates, P.C. (Chattanooga, TN). 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 Renee Wybenga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Renee Wybenga was last updated on August 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.