Individual provider Active NPI

Wendy L Wise, CRNA

  • Certified Registered Nurse Anesthetist
  • Elyria, OH
National Provider Identifier
1750339396
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-265858 Issued in OH
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

Updated by the provider on Nov 2, 2011

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 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

IdentifierTypeStateIssuer
2395251MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000005 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395750442 Reassigns benefits to 8 organizations

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
Elyria Anesthesia IncorporatedGroup PAC ID 7214902170, 64 clinicians

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

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Sep 27, 2023 Accepting new patients
Uh North Ridgeville Endoscopy Center LLC CurrentSince Jul 1, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 16, 2022 Accepting new patients
Ams Ohio PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 16, 2022 Accepting new patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2024 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2020 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.