EDDIE J WICKLINE CRNA
NPI 1891805503
Nurse Anesthetist, Certified Registered in Elkhart, IN

Active since August 30, 2006Accepts Medicare Assignment
78.32/100
CMS Quality Rating
2310 CALIFORNIA RD, STE A, ELKHART, IN 46514(574) 264-0791(574) 262-9650 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eddie J Wickline Crna NPPES

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

EDDIE J WICKLINE CRNA (NPI 1891805503) is an individual nurse anesthetist, certified registered in Elkhart, Indiana, licensed in Indiana (28137996A) and active in the NPI registry since August 2006. He is a graduate of Other (1987).

NPPES Registry Identity

NPI1891805503
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameEDDIE J WICKLINECredential: CRNA
Location Address2310 CALIFORNIA RD, STE AElkhart, IN 46514-1228
Mailing Address2310 California Rd, Ste AElkhart, IN 46514-1228 · (574) 264-0791 · Fax (574) 262-9650
Fax(574) 262-9650
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 12, 2011
NPI 1891805503 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 · 28137996A
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.

2310 CALIFORNIA RD, Elkhart, IN 46514

Other Identifiers 3

Medicaid200295510IN
Medicare UPINS02810
Medicare ID-Type UnspecifiedCB1110AIN

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

Eddie J Wickline 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 ID1557534211
PECOS Enrollment IDI20111026000148

Areas of Expertise CMS Part B claims 6

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 or exam of knee joint using an endoscope 01400
Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.
31 services29 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
15 services15 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
15 services15 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
14 services14 patients
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300
Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
12 services12 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.05
Promoting Interoperability90
Improvement Activities40
Cost78.03

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.

Physical Therapist
2310 CALIFORNIA RD, SUITE A
ELKHART, IN 46514
Physical Therapist
2310 CALIFORNIA RD, SUITE A
ELKHART, IN 46514
Occupational Therapist
2310 CALIFORNIA RD, SUITE A
ELKHART, IN 46514
Physical Therapist
2310 CALIFORNIA RD, SUITE A
ELKHART, IN 46514
Podiatrist
2310 CALIFORNIA RD
ELKHART, IN 46514
Specialist/Technologist (Athletic Trainer)
2310 CALIFORNIA RD
ELKHART, IN 46514
Specialist/Technologist (Athletic Trainer)
2310 CALIFORNIA RD
ELKHART, IN 46514
Specialist/Technologist (Athletic Trainer)
2310 CALIFORNIA RD
ELKHART, IN 46514

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 Eddie Wickline's NPI number?

The NPI number for Eddie Wickline is 1891805503. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Eddie Wickline located?

Eddie Wickline practices at 2310 California Rd Ste A, Elkhart, IN 46514. The listed phone number is (574) 264-0791.

What is Eddie Wickline's specialty?

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

Is Eddie Wickline enrolled in Medicare?

Yes. Eddie Wickline 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 Eddie Wickline accept?

Health plans from CareSource list Eddie Wickline 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.

When was this NPI record last updated?

The NPPES record for Eddie Wickline was last updated on October 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.