CHARLES H. KLOS C.R.N.A.
NPI 1710906813
Nurse Anesthetist, Certified Registered in Whitehall, WI

Q: What is Charles Klos's NPI number?

The NPI number for Charles Klos is 1710906813. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Charles Klos'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 Charles Klos was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 19, 2006PECOS Enrolled

18601 LINCOLN ST, WHITEHALL, WI 54773(715) 538-4361 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2023, Jan 14, 2021, Oct 11, 2019 (3 updates tracked since 2019).

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About Charles H. Klos C.r.n.a. NPPES

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

CHARLES H. KLOS C.R.N.A. (NPI 1710906813) is an individual nurse anesthetist, certified registered in Whitehall, Wisconsin, licensed in Wisconsin (82758-030) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710906813

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCHARLES H. KLOSCredential: C.R.N.A.

Location Address18601 LINCOLN STWhitehall, WI 54773-8605

Mailing Address18601 Lincoln StWhitehall, WI 54773-8605 · (715) 538-4361

Phone(715) 538-4361

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateMay 30, 20233 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1710906813 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

License✔ Licensed in WI · 82758-030

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.

18601 LINCOLN ST, Whitehall, WI 54773

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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)

Charles H. Klos C.r.n.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Charles Klos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri-County Memorial Hospital, Inc.

Same address

Critical Access

18601 LINCOLN ST
Whitehall, WI 54773

Reassigned Medicare billing, Wisconsin enrollment
293 clinicians in this Medicare group

NPI 1124063573 (715) 538-4361

Black River Health Inc

23 mi

Medicare Defined Swing Bed Unit

711 W ADAMS ST
Black River Falls, WI 54615

Reassigned Medicare billing, Wisconsin enrollment
11 clinicians in this Medicare group

NPI 1003914011 (715) 284-5361

Midwest Anesthesia Care, Inc

84 mi

Nurse Anesthetist, Certified Registered

2200 CEDARCREST DR, STE B
Rice Lake, WI 54868

Reassigned Medicare billing, Wisconsin enrollment
10 clinicians in this Medicare group

NPI 1740988542 (586) 864-6006

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 54773 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

MRS. AMANDA JANE JANKE OTR/L

Occupational Therapist