Active NPI
Wendy L Wise, CRNA
- Certified Registered Nurse Anesthetist
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN-265858
- Practice address
- 630 East River Street
Elyria, OH 44035-5902 - Phone
- (440) 329-7500
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-265858 | OH | Primary |
Addresses
Primary practice location
630 East River Street
Elyria, OH 44035-5902
Mailing address
860 East Broad Street
Suite I
Elyria, OH 44035-6542
Phone (440) 323-8458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2395251 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 E River St
Elyria, OH 44035-5902
Phone (440) 323-8515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Uh North Ridgeville Endoscopy Center LLC | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Ams Ohio PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Safe Anesthesia Geneva LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7001 S Edgerton Rd
Ste A
Brecksville, OH 44141
Phone (440) 717-0491
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
32800 Lorain Rd
Ste 2400
North Ridgeville, OH 44039
Phone (440) 406-5562
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Interoperability endpoints
- wwise33172@ehrdirect.uhhospitals.org
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Elyria, OH
- NPI 1710922463
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Geneva, OH
- NPI 1821327636
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- North Ridgeville, OH
- NPI 1396213294
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1558800532
Nurse Anesthetist, Certified Registered, OH
-
- Anesthesiology Physician
- Willoughby, OH
- NPI 1922270495
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1750339396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 EAST BROAD STREET",
"address_2": "SUITE I",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356542",
"telephone_number": "440-323-8458",
"fax_number": "440-323-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 EAST RIVER STREET",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355902",
"telephone_number": "440-329-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "WENDY",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN-265858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2395251",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.