Active NPI
Laura S. Blanks, CRNA
- Certified Registered Nurse Anesthetist
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 900242
- Practice address
- 301 Fisher St
Biloxi, MS 39534-2508 - Phone
- (228) 376-6018
- NPI assigned
- Jul 24, 2012
- Last updated
- Apr 14, 2026
- 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 | 900242 | MS | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 18260 | WI |
Addresses
Primary practice location
301 Fisher St
Biloxi, MS 39534-2508
Mailing address
301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-6018
Other practice location 1
2938 Juliette Dr
Ocean Springs, MS 39564-5542
Phone (715) 864-9733
Other practice location 2
415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606
Other practice location 3
2116 Craig Rd
Eau Claire, WI 54701-6118
Phone (715) 858-4500
Other practice location 4
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04854078 | Medicaid | MS |
Other names 1
- Ms. Laura S Wildenberg
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwildenberg48601@directpatientrecord.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, WI
Enrollment records 2
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
- MCHS Hospitals IncSinging River GulfportSinging River Health System
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7000
1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-6133
2310 Craig Rd
Eau Claire, WI 54701-6128
Phone (715) 858-8100
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900242 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Hogan Surgical Center PA | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Hogan Surgical Center, P. a. - Crna Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Champion Anesthesia Consultants, PLLC | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Jackson County Anesthesia | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients |
Locations
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
351 Cowan Rd
Gulfport, MS 39507
Phone (228) 896-1120
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Souhern Vision Surgery Center Gulfport
- Ambulatory Surgical Clinic/Center
- Gulfport, MS
- NPI 1104829597
-
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1922159219
-
dba Singing River Gulfport Anesthesia
- Anesthesiology Physician
- Gulfport, MS
- NPI 1780312504
-
dba Singing River Gulfport Ambulatory
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
dba Singing River Anesthesia
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1740918937
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Rice Lake
- Rural Acute Care Hospital
- Rice Lake, WI
- NPI 1154415024
-
dba Marshfield Medical Center - Eau Claire
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1952809816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1306192612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 FISHER ST",
"city": "BILOXI",
"state": "MS",
"postal_code": "395342508",
"telephone_number": "228-376-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FISHER ST",
"city": "BILOXI",
"state": "MS",
"postal_code": "395342508",
"telephone_number": "228-376-6018"
}
],
"practiceLocations": [
{
"address_1": "2938 Juliette Dr",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395645542",
"country_code": "US",
"telephone_number": "715-864-9733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 S 28th Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394017246",
"country_code": "US",
"telephone_number": "601-261-3606",
"fax_number": "601-579-5240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Craig Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016118",
"country_code": "US",
"telephone_number": "715-858-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANKS",
"first_name": "LAURA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "900242",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "18260",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04854078",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwildenberg48601@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "415 S 28th Ave",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394017246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAURA",
"last_name": "WILDENBERG",
"middle_name": "S",
"prefix": "MS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.