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KEVIN A WOHLETZ CRNA
NPI 1760404354
Nurse Anesthetist, Certified Registered in Fargo, ND

Active since July 24, 2006PECOS Enrolled
737 BROADWAY N, FARGO, ND 58122(701) 234-4811(701) 234-6979 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin A Wohletz Crna NPPES

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

KEVIN A WOHLETZ CRNA (NPI 1760404354) is an individual nurse anesthetist, certified registered in Fargo, North Dakota, licensed in North Dakota (R28727) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Centracare Health System - Sauk Centre, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1760404354
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEVIN A WOHLETZCredential: CRNA
Location Address737 BROADWAY NFargo, ND 58122-0001
Mailing Address737 BroadwayFargo, ND 58122-0001 · (701) 234-5621 · Fax (701) 234-7334
Phone(701) 234-4811
Fax(701) 234-6979
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 24, 2006
Last NPPES UpdateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
✔ NPI 1760404354 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 ND · R28727✔ Licensed in MN · 540
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.
737 BROADWAY N, Fargo, ND 58122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin A Wohletz Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416937800
PECOS Enrollment IDI20221213002050
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

4

Medicare enrollment records show Kevin Wohletz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakewood Health System
98 mi
Rural Health
815 HWY 71 SOUTH
Eagle Bend, MN 56446
  • Reassigned Medicare billing, Minnesota enrollment
  • 136 clinicians in this Medicare group
NPI 1093706160 (218) 738-2804
Centracare Clinic
127 mi
Multi-Specialty
7418 FORTHUN RD
Baxter, MN 56425
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1679025746 (320) 251-2700
Centracare Health System - Melrose
130 mi
Critical Access
525 W. MAIN STREET
Melrose, MN 56352
  • Reassigned Medicare billing, Minnesota enrollment
  • 180 clinicians in this Medicare group
NPI 1720045073 (320) 256-4231
Metropolitan Anesthesia Network, LLP
206 mi
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
NPI 1558314427 (763) 559-3779

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 2

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

Centracare Health System - Sauk Centre

Critical Access Hospitals · Sauk Centre, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241368
Location425 North Elm StreetSauk Centre, MN 56378 · Stearns County
Emergency services Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58122 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

JEROME I THOMPSON MD
Surgery
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
KENNETH E CHRISTIANSON PHD
Psychologist (Psychoanalysis)
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
SANFORD MEDICAL CENTER FARGO
Clinical Medical Laboratory
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 280-4927
ALICE M CHRISTIANSON LPCC
Family Medicine (Addiction Medicine)
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
ROGER R PRESZLER PA-C
Physician Assistant (Medical)
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
KAREN M MOSEY CRNA
Nurse Anesthetist, Certified Registered
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
RICHARD WAYNE PREUSSLER LPCC
Counselor (Professional)
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-4811
MRS. STEPHANIE MARIE PERREAULT PHARM.D.
Pharmacist
737 BROADWAY N
FARGO, ND 58122
Cass County (701) 234-2320

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 Kevin Wohletz's NPI number?

The NPI number for Kevin Wohletz is 1760404354. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Kevin Wohletz located?

Kevin Wohletz practices at 737 Broadway N, Fargo, ND 58122. The listed phone number is (701) 234-4811.

What is Kevin Wohletz's specialty?

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

Is Kevin Wohletz enrolled in Medicare?

Yes. Kevin Wohletz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Wohletz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Wohletz reassigns Medicare benefits to 4 organizations: Lakewood Health System (Eagle Bend, MN), Centracare Clinic (Baxter, MN), Centracare Health System - Melrose (Melrose, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, MN). 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 Kevin Wohletz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Wohletz accept?

Health plans from Avera Health Plans list Kevin Wohletz 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 Kevin Wohletz affiliated with any hospitals?

According to CMS data, Kevin Wohletz is affiliated with Centracare Health System - Sauk Centre and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Kevin Wohletz was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.