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

Wendy E Wiese, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1336125053

Wendy E Wiese, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fond Du Lac, Wisconsin. Qualified in 2002, 24 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group. Licensed in Wisconsin.

Years since qualifying
24
Licensed in
WI
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

430 E Division St Ste 4
Fond Du Lac, WI 54935-4560
Phone: (920) 926-2300
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 147926 (WI)

Record details

NPI number1336125053
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 15, 2005
Last updated in NPPESJuly 13, 2026
Mailing address420 E Division St, Suite 4, Fond Du Lac, WI 54935-4560

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated

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