Individual provider Active NPI

Wendy Gee Langston Kaczmarek, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
National Provider Identifier
1093798233
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN 2260 Issued in SC
Practice address
5 Medical Park Rd
Columbia, SC 29203-6873
Phone
(803) 434-3294
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN 2260 SC Primary

Addresses

Primary practice location

5 Medical Park Rd
Columbia, SC 29203-6873

Mailing address

1738 Bannockburn Dr
Columbia, SC 29206-2929

Other identifiers 1

IdentifierTypeStateIssuer
AN0596MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000867 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860663622 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concordia Anesthesiology IncGroup PAC ID 8325172885, 10 clinicians
Columbia Eye Clinic PAGroup PAC ID 8426069907, 20 clinicians

Practice addresses (Care Compare)

1920 Pickens St
Columbia, SC 29201-2632
Phone (803) 254-7732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2260SCMDMental Health Counselor
APN 2260SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Columbia Eye Surgery Center Inc CurrentSince Nov 1, 2025 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Apr 13, 2020 Accepting new patients
Columbia Eye Surg Center Inc CurrentSince Nov 1, 2025 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Aug 10, 2011 Accepting new patients
Columbia Eye Clinic PA CurrentSince Nov 1, 2025 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health-Midlands CurrentSince Jan 1, 2018 Accepting new patients
Orangeburg Anesthesia Associates, P.a. Past Accepting new patients
Pain Management, LLC Past Accepting new patients

Locations

5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168

11 Gateway Corners Park
Columbia, SC 29203
Phone (803) 462-2300

1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

100 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 806-0075

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

945 82nd Pkwy
Ste 2
Myrtle Beach, SC 29572
Phone (843) 839-0823

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1093798233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 BANNOCKBURN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292062929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036873",
            "telephone_number": "803-434-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMAREK",
        "first_name": "WENDY GEE",
        "middle_name": "LANGSTON",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN 2260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0596",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.

Verify at the official NPI Registry.