JILL E WIESENBERGER (D.O.) – Anesthesiology Physician, NPI 1215956743

JILL E WIESENBERGER (D.O.) is a healthcare provider. based in Wyandotte, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101011882 (MI). The NPI Number for JILL E WIESENBERGER (D.O.) is 1215956743

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
JILL E WIESENBERGER (D.O.)
NPI
1215956743
Phone
(734) 246-7913
Address
2333 BIDDLE ST
Enumeration Date
18 July 2006
Last Update Date
3 February 2020

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
2482656555
Graduation Year
1992 (34 years ago)
PAC ID
3870562101
Group Practice PAC ID
4486723657
Professional Enrollment ID
I20101230001050
Address ID
MI483343274FA30055HWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,716 ANESTHESIOLOGY in MI

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Provider Addresses for JILL E WIESENBERGER (D.O.)

  • Biddle Subdivision, Wyandotte, Wayne County, Michigan, United States

    WYANDOTTE, MI 481924668

    Phone: (734) 246-7913

    Fax: (734) 246-6968

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-12-30

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
I20101230001050IAnesthesiologyMITBD

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 surgery110108$0
00811Anesthesia for other procedure on large bowel using an endoscope4141$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4039$0
00812Anesthesia for exam of colon using an endoscope1717$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 48192)

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Provider's Procedures

JILL E WIESENBERGER (D.O.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMI00142Anesthesia for lens surgery9494

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: 4486723657View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
-MI
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

How do I look up JILL E WIESENBERGER (D.O.) by NPI?
Use NPI 1215956743 when you need to reference JILL E WIESENBERGER (D.O.) in forms, claims, or directories.
Is JILL E WIESENBERGER (D.O.) currently active in the NPI registry?
CMS-published data lists JILL E WIESENBERGER (D.O.) as an active registrant.
What field does JILL E WIESENBERGER (D.O.) work in?
You can think of JILL E WIESENBERGER (D.O.) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for JILL E WIESENBERGER (D.O.)?
We surface Wyandotte, Michigan for JILL E WIESENBERGER (D.O.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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