Matt Penzenstadler, BSN, SRNA
NPI 1184434052ActiveIndividual· Registered Nurse· Onalaska, WI
Registered Nurse (BSN, SRNA) with Hospitalist Medicine Physicians of Washington - Tcs, practicing in Onalaska, Wisconsin. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Providence Portland Medical Center as a hospital affiliation.
Overview
| NPI | 1184434052 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BSN, SRNA |
| Sole proprietor | No |
| NPI issued | Jan 13, 2025 |
| Last updated in NPPES | Jan 13, 2025 |
| Certified by provider | Jan 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 266097 | WI |
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) (OR) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Hospitalist Medicine Physicians of Washington - TcsPortland, OR · 194 clinicians
Hospital affiliation
- Providence Portland Medical CenterPortland, OR
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