Active NPI
Jenise Lynn Wheeler, CRNA
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
National Provider Identifier
1003945106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9484764
- Practice address
- 12511 World Plaza LN
Fort Myers, FL 33907-3991 - Phone
- (239) 939-2622
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9484764 | FL | Primary |
Addresses
Primary practice location
12511 World Plaza LN
Fort Myers, FL 33907-3991
Mailing address
2811 SW 38TH Ter
Cape Coral, FL 33914-2808
Phone (703) 472-9962
Other practice location 1
201 North Washington Street
Falls Church, VA 22046
Phone (703) 237-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9484764 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Anesthesia of Southwest Florida Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Fort Myers, FL
- NPI 1518244383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1003945106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 SW 38TH TER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339142808",
"telephone_number": "703-472-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12511 WORLD PLAZA LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073991",
"telephone_number": "239-939-2622"
}
],
"practiceLocations": [
{
"address_1": "201 North Washington Street",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "22046",
"country_code": "US",
"telephone_number": "703-237-4000",
"fax_number": "703-536-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "JENISE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9484764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.