Marcia M Wisdom-Johnson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP3359422 Issued in FL

Practice address

601 E Rollins St
Orlando, FL 32803-1248

Phone

(407) 667-0444

Fax

(407) 667-4338

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Physician Partners of America Crna Operations LLCGroup PAC ID 8022239722, 44 clinicians

West Florida Anesthesia Associates LLCGroup PAC ID 7517231186, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations (25 of 28)

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• West Florida Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1962926568

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Physician Partners of America Crna Operations LLC

  • Anesthesiology Physician
  • Hurst, TX
  • NPI 1992129365

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Amsurg Rockledge FL Anesthesia LLC

  • Anesthesiology Physician
  • Rockledge, FL
  • NPI 1083953772
  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Florida Eye Clinic Ambulatory Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Altamonte Springs, FL
  • NPI 1376513440
  Medicare reassignment NPD
• Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1376994608

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Galloway Anesthesia Associates LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1689989139

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mills Ave Anesthesia LLC

  • Specialist
  • Orlando, FL
  • NPI 1861777971
  Medicare reassignment NPD
• Amsurg Altamonte Springs Anesthesia, LLC

  • Anesthesiology Physician
  • Altamonte Springs, FL
  • NPI 1306187513
  Medicare reassignment
• Amsurg Citrus Anesthesia LLC

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1255774212
  Medicare reassignment
• Amsurg Port Orange Anesthesia, LLC

  • Anesthesiology Physician
  • Port Orange, FL
  • NPI 1043654270
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1780630731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SOUTHHALL LN",
            "address_2": "SUITE 201",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517274",
            "telephone_number": "407-667-0444",
            "fax_number": "407-667-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-667-0444",
            "fax_number": "407-667-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM-JOHNSON",
        "first_name": "MARCIA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3359422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303009100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G2505",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas F Winters Jr., MD
• Adam Winterstein, BS
• Wire Medical Inc
• Erin Knowles Wirsing, MSW
• Jeremiah Stuart Wirth, LCSW
• Wise Future Group Support Services, LLC
• Wise Future Group Support Services, LLC
• Wise Future Group Support Services, LLC
• Wise Medical Supplies Inc
• Rhonda Wise-Seda, APRN, AGPCNP-BC

• Certified Registered Nurse Anesthetist in Orlando, FL
• Providers in Orlando, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.