DR. JACOB M WAIDELICH MD
NPI 1194846998
Anesthesiology in Fond Du Lac, WI

Q: What is Jacob Waidelich's NPI number?

The NPI number for Jacob Waidelich is 1194846998. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Jacob Waidelich's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Waidelich was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment

430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8340(920) 926-8370 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacob M Waidelich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB M WAIDELICH MD (NPI 1194846998) is an individual anesthesiology provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (52040-20) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of University Of Wisconsin School Of Medicine (2004).

NPPES Registry Identity

NPI1194846998

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. JACOB M WAIDELICHCredential: MD

Location Address430 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370

Phone(920) 926-8340

Fax(920) 926-8370

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2004

Enumeration DateApril 2, 2007

Last NPPES UpdateDecember 22, 2020

NPPES CertifiedDecember 22, 2020

✔ NPI 1194846998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in WI · 52040-20

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

430 E DIVISION ST, Fond Du Lac, WI 54935

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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

Dr. Jacob M Waidelich Md 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 ID8527126622

PECOS Enrollment IDI20081017000615

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

26 services26 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520088

Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County

Emergency services Birthing friendly

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.

CLAIRE ELIZABETH KRIZMAN

Counselor (Mental Health)