Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin R. Wisenbaker, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1023424462

Benjamin R. Wisenbaker, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shreveport, Louisiana. Qualified in 2014, 12 years ago. Practices with University Health Shreveport, LLC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Louisiana.

Years since qualifying
12
Licensed in
IN, LA
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5734 Coventry Ln, Fort Wayne, IN 46804-7141 — (260) 436-7875

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP07907 (LA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 28217287A (IN)

Record details

NPI number1023424462
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 7, 2014
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Health Shreveport, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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