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

Jeremiah Ennen

Individual provider Certified Registered Nurse Anesthetist · NPI 1497575260

Jeremiah Ennen is a Certified Registered Nurse Anesthetist (CRNA) in Neenah, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1041 Honeysuckle Ln
Neenah, WI 54956-3930
Phone: (507) 514-2056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Bellinger St, Eau Claire, WI 54703-5222 — (715) 838-5222

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1104464 (WI)
Continuing Education/Staff Development Registered Nurse Taxonomy 163WC1600X · Licence 1104464 (WI)

Record details

NPI number1497575260
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2024
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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