Individual provider Active NPI

Jamieson A Wishman, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Louis, MO
National Provider Identifier
1487915179
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2007017851 Issued in MO
Practice address
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone
(314) 768-8442
Fax
(314) 768-8918
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2007017851 MO Primary

Addresses

Primary practice location

6420 Clayton Rd
Saint Louis, MO 63117-1811

Mailing address

901 E 5TH St
Washington, MO 63090-3127
Phone (314) 768-8442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000676 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113175951 Reassigns benefits to 5 organizations

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
Acuity Anesthesiology LLCGroup PAC ID 6305992652, 22 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Western Anesthesiology Associates IncGroup PAC ID 6204720667, 251 clinicians

Practice addresses (Care Compare)

1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-1000

4150 N Mulberry Dr
Suite 100
Kansas City, MO 64116-1779
Phone (469) 863-9978

4940 W 137TH St
Leawood, KS 66224-5940
Phone (469) 863-9978

901 E 5TH St
Deptartment of Anesthesiology
Washington, MO 63090-3127
Phone (636) 239-4100

Hospital & facility affiliations

  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007017851MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Anesthesia LLC CurrentSince Oct 1, 2024 Accepting new patients
Orthomed Staffing LLC CurrentSince Jul 26, 2023 Accepting new patients
Acuity Anesthesiology LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

865406 Reliable Pkwy
Chicago, IL 60686

4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846

8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

200 NE 54th St
Unit 200
Kansas City, MO 64118

2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517

12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 207-8939

12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

5401 Veterans Memorial Pkwy
Ste 100
Saint Peters, MO 63376
Phone (636) 441-0906

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.

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1487915179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903127",
            "telephone_number": "314-768-8442",
            "fax_number": "314-768-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171811",
            "telephone_number": "314-768-8442",
            "fax_number": "314-768-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHMAN",
        "first_name": "JAMIESON",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2007017851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.