Active NPI
Benjamin Riebesel
- Certified Registered Nurse Anesthetist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28232032A
- Practice address
- 5734 Coventry LN
Fort Wayne, IN 46804-7141 - Phone
- (260) 435-7973
- NPI assigned
- Nov 9, 2016
- Last updated
- Mar 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28232032A | IN | Primary |
| Registered Nurse | 163W00000X | 28232032A | IN |
Addresses
Primary practice location
5734 Coventry LN
Fort Wayne, IN 46804-7141
Mailing address
12063 Lower Huntington Rd
Roanoke, IN 46783-9667
Phone (251) 599-6756
Other practice location 1
1373 E State Road 62
Madison, IN 47250-7328
Phone (812) 801-0609
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412840169 | Other | IN | MEDICARE |
| 7100910520 | Medicaid | KY | |
| 300019421 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, OH
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1250 S Washington St
Van Wert County Hospital
Van Wert, OH 45891-2599
Phone (419) 238-8659
1260 E State Rd
Suite 205
Columbia City, IN 46725-9492
Phone (260) 248-9301
1421 N 7TH St
Terre Haute, IN 47807-1005
Phone (812) 232-7192
200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000
274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400
401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (260) 347-8140
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2443
701 S Health Pkwy
Three Rivers Health Hospital
Three Rivers, MI 49093-8352
Phone (269) 278-1145
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28232032A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Norton - Kings Daughters Health Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Regio T Penna MD, PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stat Anesthesia Specialists LTD | Current | Accepting new patients | |
| Australia Anesthesia Management LLC | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc | Current | Accepting new patients | |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Aas Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stat Anesthesia Specialists, LTD. | Current | Accepting new patients |
Locations (25 of 31)
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100
505 Pintail Trce
Chesterton, IN 46304
Phone (219) 331-6731
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
11460 Broadway
Crown Point, IN 46307
Phone (219) 488-0155
1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001
4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000
7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104
1605 Winsted Dr
Goshen, IN 46526
Phone (574) 364-2970
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
6836 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509
1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
8514 Broadway
Merrillville, IN 46410
Phone (219) 756-5010
8900 Broadway
Merrillville, IN 46410
Phone (219) 252-2173
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
901 Fran Lin Pkwy
Munster, IN 46321
Phone (219) 552-8561
9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955
9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260
Organizations & group practices 21
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
- Goshen, IN
- NPI 1700601903
-
- Anesthesiology Physician
- Mishawaka, IN
- NPI 1306722418
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
IN, MI, Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
dba Cameron Anesthesiology
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
dba Norton King's Daughters' Health
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
Nurse Anesthetist, Certified Registered
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Anesthesiology Physician
- Saint John, IN
- NPI 1699724781
-
- Anesthesiology Physician
- Novi, MI
- NPI 1831827021
IN, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
dba Marion General Hospital Nutritional Support
- Nutrition Support Registered Nurse
- Marion, IN
- NPI 1861578072
Hospital
-
dba Marion General Hospital Ambulance Service
- Land Ambulance
- Marion, IN
- NPI 1932295466
Hospital
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
dba Van Wert Health
- General Acute Care Hospital
- Van Wert, OH
- NPI 1942267760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1801338769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12063 LOWER HUNTINGTON RD",
"city": "ROANOKE",
"state": "IN",
"postal_code": "467839667",
"telephone_number": "251-599-6756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5734 COVENTRY LN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047141",
"telephone_number": "260-435-7973"
}
],
"practiceLocations": [
{
"address_1": "1373 E State Road 62",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "IN",
"postal_code": "472507328",
"country_code": "US",
"telephone_number": "812-801-0609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEBESEL",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-09",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28232032A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28232032A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "412840169",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100910520",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300019421",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.