MR. BENJAMIN WADE BRUESTLE CRNA
NPI 1659511970
Nurse Anesthetist, Certified Registered in Alamosa, CO

Q: What is Benjamin Bruestle's NPI number?

The NPI number for Benjamin Bruestle is 1659511970. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Q: What is Benjamin Bruestle'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 Benjamin Bruestle was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 26, 2009Accepts Medicare Assignment

106 BLANCA AVE, ALAMOSA, CO 81101(719) 589-2511(719) 587-1371 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 18, 2026, Mar 9, 2023 (2 updates tracked since 2023).

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About Mr. Benjamin Wade Bruestle Crna NPPES

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

MR. BENJAMIN WADE BRUESTLE CRNA (NPI 1659511970) is an individual nurse anesthetist, certified registered in Alamosa, Colorado, licensed in Oregon (10005021) and active in the NPI registry since February 2009. He is affiliated with Mid Valley Hospital, maintains a secondary practice location in Omak, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1659511970

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. BENJAMIN WADE BRUESTLECredential: CRNA

Location Address106 BLANCA AVEAlamosa, CO 81101-2340

Mailing Address3340 E Goldstone DrMeridian, ID 83642-1026 · (208) 302-9342 · Fax (208) 367-5180

Phone(719) 589-2511

Fax(719) 587-1371

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateFebruary 26, 2009

Last NPPES UpdateMay 18, 20262 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1659511970 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 OR · 10005021✔ Licensed in CT · 004000

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.

106 BLANCA AVE, Alamosa, CO 81101

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Secondary Practice Location 1

Location 1810 Jasmine StOmak, WA 98841-9578 · Phone (509) 826-1760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Benjamin Wade Bruestle 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 ID5890843726

PECOS Enrollment IDI20090819000359, I20241016003421

Hospital Affiliations CMS Care Compare

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

Mid Valley Hospital

Critical Access Hospitals · Omak, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501328

Location810 Jasmine StreetOmak, WA 98841 · Okanogan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81101 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

JOSHUA ARMSTRONG KOONTZ PHARMD

Pharmacist