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

Mr. Randy Ray Wientjes, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1154352045

Mr. Randy Ray Wientjes, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Metropolis, Illinois. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois, Kentucky and South Dakota.

Years since qualifying
40
Licensed in
IL, KY, SD
In the registry since
2006
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

3042 Lakeview Dr
Metropolis, IL 62960-3119
Phone: (618) 524-9217
Fax: (618) 524-2158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209-004142 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence CR000381 (SD)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3001002 (KY)

Record details

NPI number1154352045
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESSeptember 9, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare