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

Michael Jon Wiese, CRNA

Individual provider Registered Nurse · NPI 1508552613

Michael Jon Wiese, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tulsa, Oklahoma. Qualified in 2023, 3 years ago. Practices with Osh Aai PLLC, a 73-clinician group and accepts Medicare assignment. Licensed in California and Oklahoma.

Years since qualifying
3
Licensed in
CA, OK
In the registry since
2023
Specialties on file
3
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

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 494-0612
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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 214097 (OK)
Registered Nurse Taxonomy 163W00000X · Licence 95192561 (CA)
Registered Nurse Taxonomy 163W00000X · Licence R0110775 (OK)

Record details

NPI number1508552613
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023
Mailing address6839 S Canton Ave, Tulsa, OK 74136-3402

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Osh Aai Pllc — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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