COLTON SELVIDGE CRNA
NPI 1497395578
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since January 07, 2020Accepts Medicare Assignment
10010 KENNERLY RD, SAINT LOUIS, MO 63128(636) 386-7222(636) 386-7222 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Jan 7, 2020 (2 updates tracked since 2020).

About Colton Selvidge Crna NPPES

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

COLTON SELVIDGE CRNA (NPI 1497395578) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2021020995) and active in the NPI registry since January 2020. He is affiliated with Mercy Hospital South and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497395578
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCOLTON SELVIDGECredential: CRNA
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing AddressPo Box 22407Saint Louis, MO 63126-0407 · (636) 386-7222 · Fax (636) 386-7810
Fax(636) 386-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 7, 2020
Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1497395578 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 MO · 2021020995✔ Licensed in PA · RN700062
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.
10010 KENNERLY RD, Saint Louis, MO 63128

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

Colton Selvidge 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.

PECOS PAC ID5890124895
PECOS Enrollment IDI20211001000510

Medicare Billing Reassignment

Medicare enrollment records show Colton Selvidge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
10010 KENNERLY RD
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • 106 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Nurse Anesthetist, Certified Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128

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 Colton Selvidge's NPI number?

The NPI number for Colton Selvidge is 1497395578. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Colton Selvidge located?

Colton Selvidge practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (636) 386-7222.

What is Colton Selvidge's specialty?

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

Is Colton Selvidge enrolled in Medicare?

Yes. Colton Selvidge 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 Colton Selvidge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colton Selvidge reassigns Medicare benefits to South County Anesthesia Associates, Ltd. (Saint Louis, MO). 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 Colton Selvidge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Colton Selvidge affiliated with any hospitals?

According to CMS data, Colton Selvidge is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Colton Selvidge was last updated on September 10, 2021. 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.