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FREDERICK WICKWIRE CRNA
NPI 1265414965
Nurse Anesthetist, Certified Registered in Indianapolis, IN

Active since November 17, 2005
7150 CLEARVISTA DRIVE, INDIANAPOLIS, IN 46256(317) 621-5890(317) 355-2205 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Frederick Wickwire Crna NPPES

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

FREDERICK WICKWIRE CRNA (NPI 1265414965) is an individual nurse anesthetist, certified registered in Indianapolis, Indiana, licensed in Indiana (28115235A) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1265414965
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameFREDERICK WICKWIRECredential: CRNA
Location Address7150 CLEARVISTA DRIVEIndianapolis, IN 46256-1695
Mailing Address9834 Northwind DrIndianapolis, IN 46256-9343
Phone(317) 621-5890
Fax(317) 355-2205
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateJanuary 24, 2018
✔ NPI 1265414965 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
License✔ Licensed in IN · 28115235A
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.
7150 CLEARVISTA DRIVE, Indianapolis, IN 46256
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Other Identifiers 2

Other000000108959IN · Anthem
Medicaid100358680IN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HOSPITALS OF INDIANA INC
Nurse Practitioner (Neonatal)
7150 CLEARVISTA DRIVE, NEONATAL DEPT
INDIANAPOLIS, IN 46256
Marion County (317) 621-6262
SHANNON M GILTNER NP
Nurse Practitioner (Neonatal)
7150 CLEARVISTA DRIVE, NEONATAL DEPARTMENT
INDIANAPOLIS, IN 46256
Marion County (317) 621-5621
COMMUNITY HOSPITALS OF INDIANA INC
Obstetrics & Gynecology (Obstetrics)
7150 CLEARVISTA DRIVE, LABORIST DEPT
INDIANAPOLIS, IN 46256
Marion County (317) 621-6262
COMMUNITY HOSPITALS OF INDIANA INC
Hospitalist
7150 CLEARVISTA DRIVE, CHN PEDIATRIC UNIT
INDIANAPOLIS, IN 46256
Marion County (317) 621-9536

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 Frederick Wickwire's NPI number?

The NPI number for Frederick Wickwire is 1265414965. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Frederick Wickwire located?

Frederick Wickwire practices at 7150 Clearvista Drive, Indianapolis, IN 46256. The listed phone number is (317) 621-5890.

What is Frederick Wickwire's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Frederick Wickwire was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.