Amanda Beth Wisecup, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN.CRNA.019806 Issued in OH

Practice address

3535 Southern Blvd
Kettering, OH 45429-1221

Phone

(937) 293-8228

Fax

(937) 293-8229

NPI assigned

Dec 4, 2018

Last updated

Dec 6, 2024By the provider in NPPES

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 names 1

• Amanda B Werling Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Cincinnati College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians

Resource Anesthesia Highlands IncGroup PAC ID 1759526544, 7 clinicians

Kettering Anesthesia Associates, IncGroup PAC ID 0648170365, 54 clinicians

Anesthesia Services of Greater Dayton LLCGroup PAC ID 1658520747, 24 clinicians

Gi Anesthesia, LLCGroup PAC ID 6002971553, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
• Highland District Hospital Hospital, Hillsboro, OH, CCN 361332

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Services of Greater Dayton, LLC

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
  • NPI 1407132830

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gi Anesthesia, LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1730332610
  Medicare reassignment Care Compare group NPD
• PHS Anesthesia Billing, LLC

  • Anesthesiology Physician
  • Middletown, OH
  • NPI 1578361044
  Medicare reassignment Care Compare group NPD
• Resource Anesthesia Highlands Inc

  • Certified Registered Nurse Anesthetist
  • Hillsboro, OH
  • NPI 1508113903

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Kettering Anesthesia Associates, Inc

  • Anesthesiology Physician
  • Kettering, OH
  • NPI 1689627739
  Medicare reassignment Care Compare group
• Sandusky Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Circleville, OH
  • NPI 1770907859

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Highland District Hospital

  • Critical Access Hospital
  • Hillsboro, OH
  • NPI 1225053119
  Care Compare affiliation
• Trihealth Hospital, Inc.

  dba TriHealth Clinton Regional Hospital

  • General Acute Care Hospital
  • Wilmington, OH
  • NPI 1457243586
  Care Compare affiliation

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1952871717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CANTERBURY DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454291402",
            "telephone_number": "937-459-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-293-8228",
            "fax_number": "937-293-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISECUP",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WERLING",
            "middle_name": "B",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherry Wimmers, RPH
• Wink of Hope Counseling, LLC
• Jodi Lynn Winters, NP
• Deborah Ann Wise, CNS
• Jenna Denise Wise, PA-C
• William Brandon Witters, D.D.S.
• Alexander Carl Woeste
• Michael Wojdan, DO
• Spencer Dennis Wolf, M.D.
• Connor Michael-Lehman Wolfe, PA-C

• Certified Registered Nurse Anesthetist in Kettering, OH
• Providers in Kettering, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.