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

Jake Wisener

Individual provider Registered Nurse · NPI 1821667668

Jake Wisener is a Certified Registered Nurse Anesthetist (CRNA) in Erie, Pennsylvania. Qualified in 2022, 4 years ago. Practices with St Clair Anesthesiology Associates Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

UPMC Hamot School Of Anesthesia 201 State St
Erie, PA 16550-0001
Phone: (412) 291-0873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN697386 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN697386 (PA)

Record details

NPI number1821667668
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Clair Anesthesiology Associates Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Erie