BENJAMIN R. WISENBAKER CRNA
NPI 1023424462
Nurse Anesthetist, Certified Registered in Shreveport, LA
About Benjamin R. Wisenbaker Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN R. WISENBAKER CRNA (NPI 1023424462) is an individual nurse anesthetist, certified registered in Shreveport, Louisiana, licensed in Louisiana (AP07907) and active in the NPI registry since July 2014. He is affiliated with Lutheran Hospital Of Indiana, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Benjamin R. Wisenbaker Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Benjamin Wisenbaker reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 174 clinicians in this Medicare group
Terre Haute, IN 47804
- Reassigned Medicare billing, Indiana enrollment
- 166 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 141 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 138 clinicians in this Medicare group
Fort Wayne, IN 46825
- Reassigned Medicare billing, Indiana enrollment
- 40 clinicians in this Medicare group
Van Wert, OH 45891
- Reassigned Medicare billing, Ohio enrollment
- 86 clinicians in this Medicare group
Bronson, MI 49028
- Reassigned Medicare billing, Michigan enrollment
- 174 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INOchsner Lsu Health Shreveport
Acute Care Hospitals · Shreveport, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Wisenbaker's NPI number?
The NPI number for Benjamin Wisenbaker is 1023424462. It was assigned to this individual provider in the NPPES registry on July 7, 2014.
Where is Benjamin Wisenbaker located?
Benjamin Wisenbaker practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.
What is Benjamin Wisenbaker's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Benjamin Wisenbaker enrolled in Medicare?
Yes. Benjamin Wisenbaker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Benjamin Wisenbaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Wisenbaker reassigns Medicare benefits to 7 organizations: University Health Shreveport LLC (Shreveport, LA), Iceland Anesthesia Management, LLC (Terre Haute, IN), Jebs Anesthesia Consultants, LLC (La Porte, IN), Associated Anesthesiologists Of Fort Wayne PC (Fort Wayne, IN), Surgery One Anesthesia, LLC (Fort Wayne, IN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Wisenbaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Wisenbaker accept?
Health plans from CareSource, HMO Louisiana and Priority Health list Benjamin Wisenbaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benjamin Wisenbaker affiliated with any hospitals?
According to CMS data, Benjamin Wisenbaker is affiliated with Lutheran Hospital Of Indiana and Ochsner Lsu Health Shreveport.
When was this NPI record last updated?
The NPPES record for Benjamin Wisenbaker was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Benjamin R. Wisenbaker, CRNA · NPI 1023424462
Nurse Anesthetist, Certified Registered physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since July 7, 2014.
## Identity
- **NPI:** 1023424462 (Entity type: Individual)
- **Enumerated:** July 7, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP07907 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1541 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 626-0000 · **Fax:** (318) 629-4833
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): University Health Shreveport LLC (NPI 1619443611, Shreveport, LA); Iceland Anesthesia Management, LLC (NPI 1912578667, Terre Haute, IN); Jebs Anesthesia Consultants, LLC (NPI 1790447761, La Porte, IN); Associated Anesthesiologists Of Fort Wayne PC (NPI 1538159140, Fort Wayne, IN); Surgery One Anesthesia, LLC (NPI 1144724402, Fort Wayne, IN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023424462) · Data from the CMS NPPES public registry.