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

Dr. Benjamin Riebesel

Individual provider Certified Registered Nurse Anesthetist · NPI 1801338769

Dr. Benjamin Riebesel is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2016, 10 years ago. Practices with Clinical Colleagues Inc, a 173-clinician group and works from 2 locations. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

5734 Coventry Ln
Fort Wayne, IN 46804-7141
Phone: (260) 435-7973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1373 E State Road 62, Madison, IN 47250-7328 — (812) 801-0609

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28232032A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28232032A (IN)

Record details

NPI number1801338769
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 9, 2016
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address12063 Lower Huntington Rd, Roanoke, IN 46783-9667

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Clinical Colleagues Inc — 173 clinicians
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

Other providers in Fort Wayne