Active NPI
Joseph Alexander Weimer, CRNA
- Certified Registered Nurse Anesthetist
- Oak Creek, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 10039-33
- Practice address
- 2160 E Hidden Creek CT Apt 205
Oak Creek, WI 53154-4412 - Phone
- (262) 378-0275
- NPI assigned
- Jun 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 194025-30 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 10039-33 | WI | Primary |
Addresses
Primary practice location
2160 E Hidden Creek CT Apt 205
Oak Creek, WI 53154-4412
Mailing address
2160 E Hidden Creek CT Apt 205
Oak Creek, WI 53154-4412
Phone (262) 378-0275
Other practice location 1
2079 S 1200 E Unit 409
Salt Lake City, UT 84105-3584
Phone (262) 378-0275
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194025-30 | WI | MD | Registered Nurse |
| 10039-33 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk Prairie Healthcare, Inc. | Current | Accepting new patients | |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sauk Prairie Healthcare Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Prairie Du Sac, WI
- NPI 1396884474
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
-
dba Prairie Clinic
- Family Medicine Physician
- Sauk City, WI
- NPI 1235163494
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1477115491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 E HIDDEN CREEK CT APT 205",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531544412",
"telephone_number": "262-378-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 E HIDDEN CREEK CT APT 205",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531544412",
"telephone_number": "262-378-0275"
}
],
"practiceLocations": [
{
"address_1": "2079 S 1200 E Unit 409",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841053584",
"country_code": "US",
"telephone_number": "262-378-0275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIMER",
"first_name": "JOSEPH",
"middle_name": "ALEXANDER",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-29",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "194025-30",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "10039-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.