Active NPI
Marissa J Hernandez, CRNA
- Certified Registered Nurse Anesthetist
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8629-33
- Practice address
- 411 Westwood Dr
Wausau, WI 54401 - Phone
- (715) 847-2558
- Fax
- (715) 847-2557
- NPI assigned
- Jan 21, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0001241907 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 8629-33 | WI | Primary |
Addresses
Primary practice location
411 Westwood Dr
Wausau, WI 54401
Mailing address
411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 24TH St S
Wisconsin Rapids, WI 54494-1906
Phone (715) 424-1881
411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.86 of 100
- Quality
- 86.95
- Promoting interoperability
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001241907 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Alliance Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Gastrointestinal Associates S.C. | Current | Accepting new patients |
Locations
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314
3301 Stanley St
Stevens Point, WI 54481
Phone (715) 268-5500
411 Westwood Dr
Wausau, WI 54401
Phone (715) 479-0374
800 N 1st St
#100
Wausau, WI 54403
Phone (715) 261-8500
2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000
800 N 1st St
Wausau, WI 54403
Phone (715) 261-8500
140 24th St S
Wisconsin Rapids, WI 54494
Phone (715) 424-1881
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Wausau, WI
- NPI 1760546949
-
- Certified Registered Nurse Anesthetist
- Wausau, WI
- NPI 1336612795
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1104164417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 WESTWOOD DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014152",
"telephone_number": "715-847-2558",
"fax_number": "715-847-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 WESTWOOD DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "54401",
"telephone_number": "715-847-2558",
"fax_number": "715-847-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARISSA",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0001241907",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "8629-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.