DAVID WIESECKEL – Certified Registered Nurse Anesthetist, NPI 1942717186

DAVID WIESECKEL is a healthcare provider. based in Detroit, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4704283968 (MI). The NPI Number for DAVID WIESECKEL is 1942717186

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DAVID WIESECKEL
NPI
1942717186
Phone
(313) 916-2600
Address
2799 W GRAND BLVD
Enumeration Date
9 January 2018
Last Update Date
9 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139162600
Graduation Year
2017 (9 years ago)
PAC ID
2860754777
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20180312002563
Address ID
MI482022608DE2799XBOUL400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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

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Provider Addresses for DAVID WIESECKEL

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone: (313) 916-2600

    Type: Location

  • 14172, Barton Drive, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    SHELBY TOWNSHIP, MI 483155413

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $386.

Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($226).

Total Amount

$386

General + Research + Ownership

Payments

10

Total payment records

General Amount

$386

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2018-03-12

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
I20180312002563ICertified 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
01925Anesthesia for x-ray on artery of neck or heart1111$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

What number should I use to identify DAVID WIESECKEL for billing?
Administrative and clinical systems typically use NPI 1942717186 for DAVID WIESECKEL.
Is DAVID WIESECKEL currently accepting referrals based on NPI status?
Registry metadata lists DAVID WIESECKEL as active.
What services align with DAVID WIESECKEL's listing?
DAVID WIESECKEL's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to DAVID WIESECKEL?
The directory associates DAVID WIESECKEL with Detroit, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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