KEITH F. WIELAND CRNA
NPI 1891099057
Nurse Anesthetist, Certified Registered in Bangor, ME

Active since January 03, 2011Accepts Medicare Assignment
489 STATE ST, BANGOR, ME 04401(207) 992-4032(207) 992-4034 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keith F. Wieland Crna NPPES

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

KEITH F. WIELAND CRNA (NPI 1891099057) is an individual nurse anesthetist, certified registered in Bangor, Maine, licensed in Pennsylvania (RN592171) and active in the NPI registry since January 2011. He is affiliated with Tidalhealth Peninsula Regional, Inc and is a graduate of Other (2010).

NPPES Registry Identity

NPI1891099057
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEITH F. WIELANDCredential: CRNA
Location Address489 STATE STBangor, ME 04401-6616
Mailing Address141 N Main St Ste 205Brewer, ME 04412-2055 · (207) 992-4032 · Fax (207) 992-4034
Fax(207) 992-4034
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 3, 2011
Last NPPES UpdateJanuary 31, 2013
NPI 1891099057 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 PA · RN592171
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.

489 STATE ST, Bangor, ME 04401

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

Keith F. Wieland 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 ID2567645906
PECOS Enrollment IDI20240123001334, I20250212001167

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Pharmacist (Pharmacotherapy)
489 STATE ST
BANGOR, ME 04401
Physician Assistant
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Pharmacist (Pharmacotherapy)
489 STATE ST
BANGOR, ME 04401
Pharmacist
489 STATE ST, EASTERN MAINE MEDICAL CENTER
BANGOR, ME 04401
Physician Assistant (Medical)
489 STATE ST
BANGOR, ME 04401
Nurse Practitioner (Family)
489 STATE ST
BANGOR, ME 04401
Family Medicine
489 STATE ST
BANGOR, ME 04401
Hospitalist
489 STATE ST, EMIC KELLEY 6
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891099057, enumerated as an "individual" on January 03, 2011.

The provider is located at 489 STATE ST BANGOR, ME 04401 and the phone number is (207) 992-4032.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Keith Wieland is affiliated with: TIDALHEALTH PENINSULA REGIONAL, INC.