Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colton Selvidge, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1497395578

Colton Selvidge, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with South County Anesthesia Associates Ltd, a 81-clinician group and accepts Medicare assignment. Licensed in Missouri and Pennsylvania.

Years since qualifying
7
Licensed in
MO, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (636) 386-7222
Fax: (636) 386-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2021020995 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN700062 (PA)

Record details

NPI number1497395578
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice South County Anesthesia Associates Ltd — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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