MS. LESLIE A. WIZAUER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1205847316

MS. LESLIE A. WIZAUER (CRNA) is a healthcare provider. based in Fenton, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 106426 (MI). The NPI Number for MS. LESLIE A. WIZAUER (CRNA) is 1205847316

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. LESLIE A. WIZAUER (CRNA)
NPI
1205847316
Phone
(810) 964-7756
Address
12198 MANTAWAUKA DR
Enumeration Date
11 August 2006
Last Update Date
8 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102443937
Graduation Year
2005 (21 years ago)
PAC ID
5092819300
Group Practice PAC ID
3476455726
Professional Enrollment ID
I20070327000064
Address ID
MI485323425FL4495XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for MS. LESLIE A. WIZAUER (CRNA)

  • Mantawauka Drive, Bayport Park, Lake Fenton, Genesee County, Michigan, United States

    FENTON, MI 484308853

    Phone: (810) 964-7756

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($44).

Total Amount

$120

General + Research + Ownership

Payments

5

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070327000064ICertified Registered Nurse Anesthetist (Crna)MITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery5649$0
01992Anesthesia for nerve block and injection procedure, prone position5243$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance4239$0
01939Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance1414$0
01942Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance1312$0
View full utilization report →

Insurance plans in this area (ZIP 48430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476455726View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)TN
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What NPI should I save for MS. LESLIE A. WIZAUER (CRNA)?
Save NPI 1205847316 if you need a stable reference for MS. LESLIE A. WIZAUER (CRNA).
Is MS. LESLIE A. WIZAUER (CRNA)'s NPI currently valid?
The extract we use shows MS. LESLIE A. WIZAUER (CRNA) as active.
What kind of provider is MS. LESLIE A. WIZAUER (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MS. LESLIE A. WIZAUER (CRNA). Clinical services aligned with this taxonomy classification.
Does MS. LESLIE A. WIZAUER (CRNA) practice in Michigan?
You will see Fenton, Michigan on file for MS. LESLIE A. WIZAUER (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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