WAYLAN KRUSE
NPI 1518299874
Nurse Anesthetist, Certified Registered in Riverside, CA

Q: What is Waylan Kruse's NPI number?

The NPI number for Waylan Kruse is 1518299874. It was assigned to this individual provider in the NPPES registry on February 11, 2010.

Q: What is Waylan Kruse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Waylan Kruse was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 11, 2010

3680 RAMONA DR, RIVERSIDE, CA 92506(714) 336-0429 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Waylan Kruse NPPES

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

WAYLAN KRUSE (NPI 1518299874) is an individual nurse anesthetist, certified registered in Riverside, California, licensed in California (86062) and active in the NPI registry since February 2010. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1518299874

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameWAYLAN KRUSE

Location Address3680 RAMONA DRRiverside, CA 92506-0160

Mailing Address3680 Ramona DrRiverside, CA 92506-0160 · (714) 336-0429

Phone(714) 336-0429

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 11, 2010

Last NPPES UpdateJune 30, 2014

✔ NPI 1518299874 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 CA · 86062

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 702703 (CA)

3680 RAMONA DR, Riverside, CA 92506

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waylan Kruse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921287954

PECOS Enrollment IDI20110124000659

Medicare Billing Reassignments

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

Raelle Anesthesia Inc

6.5 mi

Nurse Anesthetist, Certified Registered

10694 MAGNOLIA AVE
Riverside, CA 92505

Reassigned Medicare billing, California enrollment
18 clinicians in this Medicare group

NPI 1437499266 (951) 335-5264

Knd Development 59 LLC

14 mi

Hospitalist

10841 WHITE OAK AVE
Rancho Cucamonga, CA 91730

Reassigned Medicare billing, California enrollment
204 clinicians in this Medicare group

NPI 1487959581 (909) 581-6400

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 Waylan Kruse's NPI number?

The NPI number for Waylan Kruse is 1518299874. It was assigned to this individual provider in the NPPES registry on February 11, 2010.

Where is Waylan Kruse located?

Waylan Kruse practices at 3680 Ramona Dr, Riverside, CA 92506. The listed phone number is (714) 336-0429.

What is Waylan Kruse's specialty?

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

Is Waylan Kruse enrolled in Medicare?

Yes. Waylan Kruse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Waylan Kruse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waylan Kruse reassigns Medicare benefits to 2 organizations: Raelle Anesthesia Inc (Riverside, CA) and Knd Development 59 LLC (Rancho Cucamonga, CA). 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 Waylan Kruse'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 Waylan Kruse was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.