MATTHEW WAYNE WOOLVERTON
NPI 1790250637
Nurse Anesthetist, Certified Registered in Colton, CA
About Matthew Wayne Woolverton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW WAYNE WOOLVERTON (NPI 1790250637) is an individual nurse anesthetist, certified registered in Colton, California, licensed in California (95001087) and active in the NPI registry since October 2018. He is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Wayne Woolverton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Matthew Woolverton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
Redlands, CA 92374
- Reassigned Medicare billing, California enrollment
- 35 clinicians in this Medicare group
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Glendora, CA 91740
- Reassigned Medicare billing, California enrollment
- 43 clinicians in this Medicare group
Santa Ana, CA 92705
- Reassigned Medicare billing, California enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
COLTON, CA 92324
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 Matthew Woolverton's NPI number?
The NPI number for Matthew Woolverton is 1790250637. It was assigned to this individual provider in the NPPES registry on October 8, 2018.
Where is Matthew Woolverton located?
Matthew Woolverton practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-2400.
What is Matthew Woolverton's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Matthew Woolverton enrolled in Medicare?
Yes. Matthew Woolverton is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Matthew Woolverton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Woolverton reassigns Medicare benefits to 5 organizations: Inland Empire Anesthesia Medical Group, Inc (Colton, CA), Marquee Anesthesia Consultants Inc (Redlands, CA), Raelle Anesthesia Inc (Riverside, CA), Glendora Anesthesia Associates LP (Glendora, CA) and San Gabriel Anesthesia Associates, PC (Santa Ana, CA). 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 Matthew Woolverton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Woolverton was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Matthew Wayne Woolverton · NPI 1790250637
Nurse Anesthetist, Certified Registered physician in Colton, California. Individual provider, active in the CMS NPPES registry since October 8, 2018.
## Identity
- **NPI:** 1790250637 (Entity type: Individual)
- **Enumerated:** October 8, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001087 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N PEPPER AVE, Colton, CA 92324-1819
- **Phone:** (909) 580-2400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Inland Empire Anesthesia Medical Group, Inc (NPI 1861502841, Colton, CA); Marquee Anesthesia Consultants Inc (NPI 1760942619, Redlands, CA); Raelle Anesthesia Inc (NPI 1437499266, Riverside, CA); Glendora Anesthesia Associates LP (NPI 1750748331, Glendora, CA); San Gabriel Anesthesia Associates, PC (NPI 1538424908, Santa Ana, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790250637) · Data from the CMS NPPES public registry.