Active NPI
Adam C Wisenbaker, CRNA
- Certified Registered Nurse Anesthetist
- Altoona, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11016365
- Practice address
- 620 Howard Ave
Altoona, PA 16601-4804 - Phone
- (814) 943-5901
- NPI assigned
- Dec 29, 2014
- Last updated
- Jul 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016365 | FL | MD | Certified Registered Nurse Anesthetist |
| RN641843 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Madison County Hospital Health Systems, Inc. | Current | Accepting new patients | |
| Madison County Hospital Health Systems, Inc. | Current | Accepting new patients | |
| Valdosta Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Vision Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tranquil Anesthesiology LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Ams Southeast LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SE Georgia Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1922772037
Nurse Anesthetist, Certified Registered
-
dba Memorial Health Meadows Physicians- Anesthesia
- Anesthesiology Physician
- Vidalia, GA
- NPI 1518542919
Nurse Anesthetist, Certified Registered
-
- Specialist
- Valdosta, GA
- NPI 1134148208
-
dba Southwell Mobile Clinic
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1487107157
GA, Nurse Anesthetist, Certified Registered
-
dba Madison County Memorial Hospital
- Critical Access Hospital
- Madison, FL
- NPI 1104821461
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Macon, GA
- NPI 1235514456
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1134740319
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1013681121
Nurse Anesthetist, Certified Registered
-
dba Madison County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Madison, FL
- NPI 1083684856
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
dba SGMC Health
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
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.