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DR. BRYAN WIEDERHOLT DNAP, CRNA
NPI 1740953488
Nurse Anesthetist, Certified Registered in Las Vegas, NV

Active since July 28, 2021PECOS Enrolled
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102(702) 383-2000(702) 383-3620 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2023, Jul 28, 2021 (2 updates tracked since 2021).

About Dr. Bryan Wiederholt Dnap, Crna NPPES

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

DR. BRYAN WIEDERHOLT DNAP, CRNA (NPI 1740953488) is an individual nurse anesthetist, certified registered in Las Vegas, Nevada, licensed in Nevada (845062) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740953488
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. BRYAN WIEDERHOLTCredential: DNAP, CRNA
Location Address1800 W. CHARLESTON BLVD.Las Vegas, NV 89102
Mailing Address1800 W. Charleston Blvd.Las Vegas, NV 89102 · (702) 383-2000 · Fax (702) 383-3620
Phone(702) 383-2000
Fax(702) 383-3620
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 28, 2021
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1740953488 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 NV · 845062
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.
1800 W. CHARLESTON BLVD., Las Vegas, NV 89102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryan Wiederholt Dnap, Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264837871
PECOS Enrollment IDI20210819003125, I20251028002876, I20251204001598
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

10

Medicare enrollment records show Bryan Wiederholt reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Red Rock Anesthesia Consultants LLC
3.2 mi
Anesthesiology
304 S JONES BLVD # 884
Las Vegas, NV 89107
  • Reassigned Medicare billing, Nevada enrollment
  • 182 clinicians in this Medicare group
NPI 1235660002 (702) 900-4085
Valley Anesthesiology Consultants-Beckett-PLLC
11 mi
Anesthesiology
10120 S EASTERN AVE STE 100
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 95 clinicians in this Medicare group
NPI 1437326857 (318) 924-5057
Amin, Dunckelmeyer And Luu PLLC
11 mi
Anesthesiology
6900 N DURANGO DR
Las Vegas, NV 89149
  • Reassigned Medicare billing, Nevada enrollment
  • 123 clinicians in this Medicare group
NPI 1093410045 (702) 518-6362
Battle Born Anesthesia Associates Ltd
90 mi
Anesthesiology
3880 N STOCKTON HILL RD STE 103147
Kingman, AZ 86409
  • Reassigned Medicare billing, Arizona enrollment
  • 41 clinicians in this Medicare group
NPI 1629781455 (702) 518-6362
Kingman Healthcare, Inc
91 mi
General Acute Care Hospital
3269 N STOCKTON HILL RD
Kingman, AZ 86409
  • Reassigned Medicare billing, Arizona enrollment
  • 418 clinicians in this Medicare group
NPI 1265423917 (928) 681-8655
Western Anesthesia Provider Group-Scherr, P.C.
323 mi
Anesthesiology
2001 ERRECART BLVD
Elko, NV 89801
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Western Anesthesia Provider Group-Scherr PC
  • 19 clinicians in this Medicare group
NPI 1801450572 (775) 738-5151
Mt Ogden Anesthesia Group LLC
388 mi
Nurse Anesthetist, Certified Registered
3480 WASHINGTON BLVD STE 105
Ogden, UT 84401
  • Reassigned Medicare billing, Utah enrollment
  • 33 clinicians in this Medicare group
NPI 1770999807 (801) 392-0385
Hays Medical Center, Inc
844 mi
Family Medicine
2300 N 14TH AVE STE 200
Dodge City, KS 67801
  • Reassigned Medicare billing, Kansas enrollment
  • 218 clinicians in this Medicare group
NPI 1902590508 (620) 371-5197
Premier Anesthesia Of Washington, PC
981 mi
Anesthesiology
400 S SANTA FE AVE
Salina, KS 67401
  • Reassigned Medicare billing, Kansas enrollment
  • 49 clinicians in this Medicare group
NPI 1194617043 (678) 690-7812
Chi Health Clinic Physician Enterprise-Anesthesia LLC
1,089 mi
Anesthesiology
7500 MERCY RD STE 1355
Omaha, NE 68124
  • Reassigned Medicare billing, Nebraska enrollment
  • 271 clinicians in this Medicare group
NPI 1356858419 (402) 717-4866

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

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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

DR. NOAH BENJAMIN KOHN MD
Pediatrics
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
GENGHIS PORTILLO M.D.
Anesthesiology
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
RYAN LACEY
Internal Medicine
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
DR. BRANDON TIMOTHY SNOOK MD
Surgery
1800 W. CHARLESTON BLVD., UNIVERSITY MEDICAL CENTER OF LAS VEGAS
LAS VEGAS, NV 89102
Clark County (702) 671-2201
DR. AKEEM ANTHONY GEORGE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
DR. CHRISTOPHER PAUL MURRAY MD
Pediatrics
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
DR. KANAYO AFAMEFINA EZEANOLUE MD
Pediatrics (Neonatal-Perinatal Medicine)
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
LYNNE M ELLISON DO
Pediatrics
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000

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 Bryan Wiederholt's NPI number?

The NPI number for Bryan Wiederholt is 1740953488. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Bryan Wiederholt located?

Bryan Wiederholt practices at 1800 W. Charleston Blvd., Las Vegas, NV 89102. The listed phone number is (702) 383-2000.

What is Bryan Wiederholt's specialty?

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

Is Bryan Wiederholt enrolled in Medicare?

Yes. Bryan Wiederholt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bryan Wiederholt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Wiederholt reassigns Medicare benefits to 10 organizations: Red Rock Anesthesia Consultants LLC (Las Vegas, NV), Valley Anesthesiology Consultants-Beckett-PLLC (Henderson, NV), Amin, Dunckelmeyer And Luu PLLC (Las Vegas, NV), Battle Born Anesthesia Associates Ltd (Kingman, AZ), Kingman Healthcare, Inc (Kingman, AZ) and 5 more organizations, 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 Bryan Wiederholt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Wiederholt accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska and Cigna HealthCare of Arizona, Inc list Bryan Wiederholt 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 Bryan Wiederholt affiliated with any hospitals?

According to CMS data, Bryan Wiederholt is affiliated with Chi Health Bergan Mercy and Northeastern Nevada Regional Hospital.

When was this NPI record last updated?

The NPPES record for Bryan Wiederholt was last updated on March 3, 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.