Active NPI
Pamela Y Wolfersberger, CRNA
- Certified Registered Nurse Anesthetist
- Marshall, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704264365
- Practice address
- 200 N Madison St
Marshall, MI 49068-1143 - Phone
- (269) 781-4271
- NPI assigned
- Jun 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4704264365 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704264365 | MI | Primary |
Addresses
Primary practice location
200 N Madison St
Marshall, MI 49068-1143
Mailing address
200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| Anesthesia Associates of Lima Inc | Anesthesiology | Current | Accepting new patients |
| Lifelinc Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Cincinnati, Inc | Anesthesiology | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| Freeman Neosho Hospital | Anesthesiology | Past | Accepting new patients |
Locations
200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921
3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
L3688
Columbus, OH 43260
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Organizations & group practices 7
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.
-
dba Oaklawn Hospital
- Certified Registered Nurse Anesthetist
- Marshall, MI
- NPI 1174672521
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1316945173
-
- Certified Registered Nurse Anesthetist
- Lima, OH
- NPI 1487662300
Anesthesiology
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
dba Freeman Neosho Anesthesiology
- Anesthesiology Physician
- Neosho, MO
- NPI 1164451746
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Oaklawn Hospital
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1831135268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N MADISON ST",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681143",
"telephone_number": "269-781-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MADISON ST",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681143",
"telephone_number": "269-781-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFERSBERGER",
"first_name": "PAMELA",
"middle_name": "Y",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4704264365",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704264365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.