BENJAMIN R. WISENBAKER CRNA
NPI 1023424462
Nurse Anesthetist, Certified Registered in Shreveport, LA

Active since July 07, 2014Accepts Medicare Assignment
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000(318) 629-4833 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1023424462
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBENJAMIN R. WISENBAKERCredential: CRNA
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address1541 Kings HwyShreveport, LA 71103-4228
Fax(318) 629-4833
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 7, 2014
Last NPPES UpdateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
NPI 1023424462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in LA · AP07907 Licensed in IN · 28217287A
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1541 KINGS HWY, Shreveport, LA 71103

Secondary Practice Location 1

Location 15734 Coventry LnFort Wayne, IN 46804-7141 · Phone (260) 436-7875

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2769601731
PECOS Enrollment IDI20140924001431, I20241023000563

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
83 services80 patients

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, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190098
Location1541 Kings HighwayShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician 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.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Cardiovascular Disease)
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics (Pediatric Pulmonology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Anesthesiology
1541 KINGS HWY
SHREVEPORT, LA 71103
Physician Assistant (Medical)
1541 KINGS HWY
SHREVEPORT, LA 71103
Internal Medicine (Interventional Cardiology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Psychiatry & Neurology (Neurology)
1541 KINGS HWY
SHREVEPORT, LA 71103

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.

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 with the weekly NPPES data releases published by CMS.