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

Stephanie Poling Wise

Individual provider Certified Registered Nurse Anesthetist · NPI 1669865911

Stephanie Poling Wise is a Certified Registered Nurse Anesthetist (CRNA) in Edgewood, Kentucky. Qualified in 2015, 11 years ago. Practices with Southwest Ohio Anesthesia Consultants LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2015

Practice location Address checks out

20 Medical Village Dr Ste 258
Edgewood, KY 41017-5401
Phone: (859) 301-2211
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3009532 (KY)

Record details

NPI number1669865911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 11, 2015
Last updated in NPPESJuly 15, 2015
Mailing address20 Medical Village Dr, Suite 258, Edgewood, KY 41017-5401

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southwest Ohio Anesthesia Consultants Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edgewood