Individual provider Active NPI

Adam C Wisenbaker, CRNA

  • Certified Registered Nurse Anesthetist
  • Altoona, PA
National Provider Identifier
1619365665
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11016365 Issued in FL
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(814) 943-5901
NPI assigned
Dec 29, 2014
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 RN213527 GA
Certified Registered Nurse Anesthetist 367500000X RN641843 PA
Certified Registered Nurse Anesthetist 367500000X APRN11016365 FL Primary

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

5564 Ga Hwy 122 E
Hahira, GA 31632
Phone (229) 300-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220218000252 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860717212 Reassigns benefits to 7 organizations
I20220418000476 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860717212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Georgia Anesthesia, LLCGroup PAC ID 8426466137, 114 clinicians
Valdosta Anesthesia Associates, P.C.Group PAC ID 0941296636, 42 clinicians
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5555

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (954) 939-5000

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 244-6852

4700 Waters Ave
(Memorial Health University Medical Center)
Savannah, GA 31404-6220
Phone (912) 350-8000

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11016365FLMDCertified Registered Nurse Anesthetist
RN641843PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Feb 1, 2026 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Madison County Hospital Health Systems, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Madison County Hospital Health Systems, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Valdosta Anesthesia Associates, P.C. CurrentSince Feb 3, 2026 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Aug 10, 2022 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Apr 14, 2022 Accepting new patients
Tift Regional Health System Inc CurrentSince Feb 1, 2026 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2022 Accepting new patients
SE Georgia Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 25, 2024 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Blair County Anesthesia, P.C. Past Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

2173 Centerville Pl
Ste A
Tallahassee, FL 32308

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1111 Glynco Pkwy
Brunswick, GA 31525
Phone (912) 262-6552

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024

3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029

312 Westside Dr
Douglas, GA 31533
Phone 9123842200222

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

1015 Arthur J Moore Dr
St Simons Island, GA 31522
Phone (912) 634-1993

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

100 Gavotte Ln
Anderson, SC 29621
Phone (864) 261-7474

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1619365665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 GA HWY 122 E",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "31632",
            "telephone_number": "229-300-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-943-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISENBAKER",
        "first_name": "ADAM",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-29",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN213527",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN641843",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11016365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.