Individual provider Active NPI

Jessica Tobey Wisler, CRNA

  • Certified Registered Nurse Anesthetist
  • Bellefontaine, OH
National Provider Identifier
1457856973
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.019688 Issued in OH
Practice address
205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone
(937) 592-4015
Fax
(614) 566-6693
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.349529 OH
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019688 OH Primary

Addresses

Primary practice location

205 E Palmer Rd
Bellefontaine, OH 43311-2281

Mailing address

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180525000568 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315202165 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.349529OHMDRegistered Nurse
APRN.CRNA.019688OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Solutions Incorporated CurrentSince Feb 7, 2023 Accepting new patients
Midwest Physician Anesthesia Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
New Albany Orthopedic Anesthesia LLC CurrentSince Feb 17, 2022 Accepting new patients
Integrated Pain Solutions Incorporated CurrentSince Feb 7, 2023 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Mary Rutan Hospital CurrentSince Sep 27, 2022 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2023 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Ips ASC, LLC Current Accepting new patients
Mary Rutan Hospital CurrentSince Sep 27, 2022 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients

Locations

340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

1210 Gemini Pl
Ste 300
Columbus, OH 43240
Phone (614) 220-5648

2240 N Bank Dr
Uppr Arl
Columbus, OH 43220
Phone (614) 442-6515

2245 N Bank Dr
Columbus, OH 43220
Phone (614) 233-2142

5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

4605 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 827-1050

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1457856973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-592-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-592-4015",
            "fax_number": "614-566-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBEY WISLER",
        "first_name": "JESSICA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.349529",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.