CODY LEE WOODBURY CRNA
NPI 1912460585
Nurse Anesthetist, Certified Registered in Spokane, WA

Active since April 10, 2019Accepts Medicare Assignment
93.48/100
CMS Quality Rating
101 W 8TH AVE, SPOKANE, WA 99204(509) 474-3181 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2021, Jun 23, 2020, Apr 10, 2019 (3 updates tracked since 2019).

About Cody Lee Woodbury Crna NPPES

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

CODY LEE WOODBURY CRNA (NPI 1912460585) is an individual nurse anesthetist, certified registered in Spokane, Washington, licensed in Washington (AP61065880) and active in the NPI registry since April 2019. He is affiliated with Providence Holy Family Hospital, maintains a secondary practice location in Spokane, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912460585
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCODY LEE WOODBURYCredential: CRNA
Location Address101 W 8TH AVESpokane, WA 99204-2307
Mailing Address101 W 8th AveSpokane, WA 99204-2307 · (509) 474-3181
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2019
Last NPPES UpdateApril 30, 20213 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1912460585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WA · AP61065880
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RN60723037 (WA)
101 W 8TH AVE, Spokane, WA 99204

Secondary Practice Location 1

Location 1502 E Boone AveSpokane, WA 99258-0001 · Phone (509) 474-4971

Other Identifiers 2

Other390200000WA · Student
Other390200000XWA · Student

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

Cody Lee Woodbury 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 ID7315360815
PECOS Enrollment IDI20200630002513

Medicare Billing Reassignments

3

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

Anesthesiology
101 W 8TH AVE
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 242 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
11919 W SUNSET HWY STE C2
Airway Heights, WA 99001
  • Reassigned Medicare billing, Washington enrollment
  • 6 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1424 N MCDONALD RD #101
Spokane, WA 99216
  • Reassigned Medicare billing, Washington enrollment
  • 6 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.

Hospital Affiliations CMS Care Compare

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

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.16
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
101 W 8TH AVE
SPOKANE, WA 99204
Psychiatry & Neurology (Psychiatry)
101 W 8TH AVE
SPOKANE, WA 99204
Radiology (Diagnostic Radiology)
101 W 8TH AVE
SPOKANE, WA 99204
Anesthesiology
101 W 8TH AVE
SPOKANE, WA 99204
Internal Medicine
101 W 8TH AVE
SPOKANE, WA 99204
Surgery (Pediatric Surgery)
101 W 8TH AVE, STE 100
SPOKANE, WA 99204
Emergency Medicine
101 W 8TH AVE
SPOKANE, WA 99204
Pharmacist
101 W 8TH AVE
SPOKANE, WA 99204

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 Cody Woodbury's NPI number?

The NPI number for Cody Woodbury is 1912460585. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Cody Woodbury located?

Cody Woodbury practices at 101 W 8th Ave, Spokane, WA 99204. The listed phone number is (509) 474-3181.

What is Cody Woodbury's specialty?

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

Is Cody Woodbury enrolled in Medicare?

Yes. Cody Woodbury 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 Cody Woodbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Woodbury reassigns Medicare benefits to 3 organizations: Providence Health & Service- Washington (Spokane, WA), Selkirk Anesthesia PLLC (Airway Heights, WA) and Dreamtime Anesthesia LLC (Spokane, WA). 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 Cody Woodbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Cody Woodbury affiliated with any hospitals?

According to CMS data, Cody Woodbury is affiliated with Providence Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Cody Woodbury was last updated on April 30, 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.