Jason Witzel, CRNA
NPI 1164889317ActiveIndividual· Nurse Anesthetist, Certified Registered· Dodge City, KS
Nurse Anesthetist, Certified Registered (CRNA) with St Alphonsus Professional Medical Services LLC and 1 other group, practicing in Dodge City, Kansas. Medicare paid $20,533 for services to 107 patients in 2024. Lists St Luke's Wood River Medical Center as a hospital affiliation.
Overview
| NPI | 1164889317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jan 19, 2016 |
| Last updated in NPPES | Jan 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 43-557387-122 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CA); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 107 |
|---|---|
| Services billed | 160 across 30 procedure codes |
| Paid by Medicare | $20,533 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- St Alphonsus Professional Medical Services LLCBoise, ID · 124 clinicians
- St Lukes Clinic - Wood River LLCKetchum, ID · 66 clinicians
Hospital affiliation
- St Luke's Wood River Medical CenterKetchum, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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