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

Active since February 26, 2009PECOS EnrolledAccepts 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: October 18, 2026.

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

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 enrolled in Medicare PECOS, is affiliated with Mid Valley Hospital, and maintains a secondary practice location in Omak.

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, billing reassignment, and ordering and referring status from CMS.

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
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Benjamin Bruestle reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran Hospital Association Of The San Luis Valley
0.1 mi
Obstetrics & Gynecology
106 BLANCA AVE
Alamosa, CO 81101
  • Reassigned Medicare billing, Colorado enrollment
  • 203 clinicians in this Medicare group
NPI 1720269434 (719) 589-3000
Southern Colorado Crna Associates Inc
91 mi
Nurse Anesthetist, Certified Registered
4100 JERRY MURPHY RD
Pueblo, CO 81001
  • Reassigned Medicare billing, Colorado enrollment
  • 19 clinicians in this Medicare group
NPI 1043538382 (888) 209-0305
Us Anesthesia Partners Of Colorado Inc.
157 mi
Anesthesiology
8000 E MAPLEWOOD AVE STE 120
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Colorado enrollment
  • 971 clinicians in this Medicare group
NPI 1922365782 (303) 438-3999
Harney District Hospital
811 mi
Multi-Specialty
271 N EGAN AVE
Burns, OR 97720
  • Reassigned Medicare billing, Oregon enrollment
  • 60 clinicians in this Medicare group
NPI 1972113306 (541) 573-7281
Cep America - Anesthesia PC
1,003 mi
Anesthesiology
2700 NW STEWART PKWY
Roseburg, OR 97471
  • Reassigned Medicare billing, Oregon enrollment
  • 82 clinicians in this Medicare group
NPI 1235842196 (541) 673-0611
Okanogan County Public Hospital District No. 3
1,021 mi
Critical Access
810 JASMINE ST
Omak, WA 98841
  • Reassigned Medicare billing, Washington enrollment
  • 179 clinicians in this Medicare group
NPI 1255387403 (509) 826-1760

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

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
106 BLANCA AVE
ALAMOSA, CO 81101
Alamosa County (719) 587-1260
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Rehabilitation Unit
106 BLANCA AVE
ALAMOSA, CO 81101
Alamosa County (719) 589-2511
MR. TYLEN JOE PAVLOVSKY PA-C
Physician Assistant
106 BLANCA AVE
ALAMOSA, CO 81101
Alamosa County (719) 589-3000
JASON M DEFEE MD, PA
Orthopaedic Surgery
106 BLANCA AVE
ALAMOSA, CO 81101
Alamosa County (719) 589-2511
HEALTHONE HEART CARE LLC
Internal Medicine (Interventional Cardiology)
106 BLANCA AVE
ALAMOSA, CO 81101
Alamosa County (719) 589-8133
CHILDREN'S HOSPITAL COLORADO
Clinic/Center (Multi-Specialty)
106 BLANCA AVE
ALAMOSA, CO 81101
Alamosa County (719) 589-2511
MICHELLE LEONA VALDEZ N.P.
Nurse Practitioner (Women's Health)
106 BLANCA AVE
ALAMOSA, CO 81101
Alamosa County (719) 589-8028
SIERRA VISTA PATHOLOGY
Specialist
106 BLANCA AVE
ALAMOSA, CO 81101
Alamosa County (877) 662-4044

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 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.

Where is Benjamin Bruestle located?

Benjamin Bruestle practices at 106 Blanca Ave, Alamosa, CO 81101. The listed phone number is (719) 589-2511.

What is Benjamin Bruestle's specialty?

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

Is Benjamin Bruestle enrolled in Medicare?

Yes. Benjamin Bruestle 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 Benjamin Bruestle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Bruestle reassigns Medicare benefits to 6 organizations: Lutheran Hospital Association Of The San Luis Valley (Alamosa, CO), Southern Colorado Crna Associates Inc (Pueblo, CO), Us Anesthesia Partners Of Colorado Inc. (Greenwood Village, CO), Harney District Hospital (Burns, OR), Cep America - Anesthesia PC (Roseburg, OR) and 1 more organization, listed in the Medicare section above. 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 Benjamin Bruestle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Bruestle accept?

Health plans from Oscar Insurance Company list Benjamin Bruestle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Benjamin Bruestle affiliated with any hospitals?

According to CMS data, Benjamin Bruestle is affiliated with Mid Valley Hospital.

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 5 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.