Active NPI
Jeff Wheeler
- Certified Registered Nurse Anesthetist
- Marshalltown, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 116427
- Practice address
- 3 S 4TH Ave
Marshalltown, IA 50158 - Phone
- (208) 830-9101
- NPI assigned
- Sep 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 116427 | IN | Primary |
Addresses
Primary practice location
3 S 4TH Ave
Marshalltown, IA 50158
Mailing address
2602 Leland CT
Marshalltown, IA 50158-4725
Other practice location 1
3901 S 7th St
Terre Haute, IN 47802-5709
Phone (208) 830-9101
Other practice location 2
3901 S 7th St
Terre Haute, IN 47802-5709
Phone (208) 830-9101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116427 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Salahuddin Syed MD PC | Current | Accepting new patients |
Locations
55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145
3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Anatomic Pathology & Clinical Pathology Physician
- Marshalltown, IA
- NPI 1083054464
-
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1124655006
-
- Emergency Medicine Physician
- Marshalltown, IA
- NPI 1164957593
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1073061172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 LELAND CT",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 S 4TH AVE",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "50158",
"telephone_number": "208-830-9101"
}
],
"practiceLocations": [
{
"address_1": "3901 S 7th St",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478025709",
"country_code": "US",
"telephone_number": "208-830-9101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3901 S 7th St",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478025709",
"country_code": "US",
"telephone_number": "208-830-9101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "JEFF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-17",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "116427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.