Individual provider Active NPI

Allen E Faber, CRNA

  • Certified Registered Nurse Anesthetist
  • Green Bay, WI
National Provider Identifier
1407963085
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
678-033 Issued in WI
Practice address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone
(920) 433-3500
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060329000635 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395753560 Reassigns benefits to 11 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
678-033WIMDCertified Registered Nurse Anesthetist
82071-030WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Independent Surgery Center LLC CurrentSince Feb 18, 2017 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 30, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 15, 2015 Accepting new patients
The Howard Young Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals, Inc. CurrentSince Oct 30, 2018 Accepting new patients
Bellin Anesthesia Associates, S.C. CurrentSince Apr 8, 2011 Accepting new patients
Premier Spine Group, S.C. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 1, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Memorial Hospital Inc CurrentSince Jan 15, 2020 Accepting new patients
Midwest Alliance Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 4, 2019 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2017 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Mar 11, 2017 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2751 Commercial Blvd
Ste 7
Chippewa Fls, WI 54729
Phone (715) 738-1800

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

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

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

Bin 88848
Milwaukee, WI 53288

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

520 Vincent St
Stevens Point, WI 54481
Phone (715) 544-1774

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

3500 Hoover Rd
Stevens Point, WI 54481
Phone (715) 342-7900

200 Division St
Ste J
Stevens Point, WI 54481
Phone (715) 544-1774

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

800 N 1st St
Wausau, WI 54403
Phone (715) 261-8500

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 82071-030 WI
Certified Registered Nurse Anesthetist 367500000X 678-033 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 647-6326

Other names 1

NPPES NPI Registry
  • Allen Ernest Faber Professional name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2022.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1407963085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-647-6326",
            "fax_number": "414-671-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "ALLEN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "82071-030",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "678-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLEN",
            "last_name": "FABER",
            "middle_name": "ERNEST",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.