Individual provider Active NPI

Wendy J Walker, CRNA

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
National Provider Identifier
1396937389
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN12880 Issued in TN
Practice address
975 E Third St
Chattanooga, TN 37403-2147
Phone
(423) 778-7608
Fax
(423) 778-2360
NPI assigned
Aug 14, 2007
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN12880 TN Primary
Registered Nurse 163W00000X RN129755 TN
Registered Nurse 163W00000X RN173983 GA

Addresses

Primary practice location

975 E Third St
Chattanooga, TN 37403-2147

Mailing address

PO Box 2930
Indianapolis, IN 46206-2930
Phone (423) 892-5602

Other identifiers 7

IdentifierTypeStateIssuer
4159491OtherTNBLUE CROSS BLUE SHIELD TN
8053443MedicaidNC
918461591AMedicaidGA
P00472268OtherTNRAILROAD MEDICARE
009913081MedicaidAL
3600119MedicaidTN
N408870OtherGAWELLCARE (GA MEDICAID)

Other names 1

  • Wendy J Sanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071127000825 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931298072 Reassigns benefits to 4 organizations
I20220808002427 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931298072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (865) 546-8040

9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12880TNMDDentist
RN173983GAMDRegistered Nurse
RN129755TNMDRegistered Nurse
APN12880TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 10, 2023 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2016 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince May 10, 2023 Accepting new patients
Amsurg Chattanooga Anesthesia LLC CurrentSince Jan 29, 2018 Accepting new patients
Coastal Medical Associates Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Chattanooga Endoscopy ASC LLC PastSince Jan 29, 2018 Accepting new patients

Locations

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1501 Riverside Dr
Ste 117
Chattanooga, TN 37406
Phone (423) 648-0576

2108 E 3rd St
Chattanooga, TN 37404
Phone (423) 629-1491

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

7450 Tyner Rd
Chattanooga, TN 37421
Phone (423) 697-8754

4312 Holiday Inn Express Way NW
Ste 105
Cleveland, TN 37312

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

28 White Bridge Pike
Ste 208
Nashville, TN 37205
Phone (615) 327-2001

28 White Bridge Pike
Ste 210
Nashville, TN 37205
Phone (615) 352-3000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1396937389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2930",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062930",
            "telephone_number": "423-892-5602",
            "fax_number": "423-892-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E THIRD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7608",
            "fax_number": "423-778-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WENDY",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN12880",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN129755",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN173983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4159491",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053443",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918461591A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00472268",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913081",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600119",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE (GA MEDICAID)",
            "identifier": "N408870",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "SANDERS",
            "middle_name": "J",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.