Individual provider Active NPI

Linda K Wenker, CRNA

  • Certified Registered Nurse Anesthetist
  • Eau Claire, WI
National Provider Identifier
1992145064
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
177356-30 Issued in WI
Practice address
1101 W Clairemont Ave
Suite 2C
Eau Claire, WI 54701-4503
Phone
(715) 834-8721
Fax
(715) 834-3087
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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 177356-30 WI Primary

Addresses

Primary practice location

1101 W Clairemont Ave
Suite 2C
Eau Claire, WI 54701-4503

Mailing address

1101 W Clairemont Ave
Suite 2C
Eau Claire, WI 54701-4503
Phone (715) 834-8721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008002398 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214163500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Practice addresses (Care Compare)

1330 Commercial St SE
Salem, OR 97302-4206
Phone (503) 763-1973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
177356-30WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Anesthesia Services Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2017 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Feb 11, 2019 Accepting new patients
Chippewa Valley Anesthesia Associates, S.C. PastSince Aug 30, 2020 Accepting new patients

Locations

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

1445 State St
Salem, OR 97301
Phone (503) 315-7338

2480 Liberty St NE
Ste 120
Salem, OR 97301
Phone (503) 363-4355

1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973

6464 SW Borland Rd
Ste A3
Tualatin, OR 97062
Phone (503) 292-8614

Organizations & group practices 3

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1992145064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W CLAIREMONT AVE",
            "address_2": "SUITE 2C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014503",
            "telephone_number": "715-834-8721",
            "fax_number": "715-834-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W CLAIREMONT AVE",
            "address_2": "SUITE 2C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014503",
            "telephone_number": "715-834-8721",
            "fax_number": "715-834-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENKER",
        "first_name": "LINDA",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "177356-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.