BRENT J WISE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073753422

BRENT J WISE (CRNA) is a healthcare provider. based in Rochester, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 172570-8 (MN). The NPI Number for BRENT J WISE (CRNA) is 1073753422

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
BRENT J WISE (CRNA)
NPI
1073753422
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
25 February 2009
Last Update Date
20 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604273625
Graduation Year
2009 (17 years ago)
PAC ID
6002965423
Group Practice PAC ID
0345139275
Professional Enrollment ID
I20150729007845
Address ID
WA985844401SH901XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for BRENT J WISE (CRNA)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    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 3 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($44).

Total Amount

$44

General + Research + Ownership

Payments

3

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$44
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: 2015-07-29

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
I20150729007845ICertified Registered Nurse Anesthetist (Crna)WATBD

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 surgery3934$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back1313$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 0345139275View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Interventional CardiologyAK
-WA
Physician AssistantVA
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
Nurse PractitionerPA
Physician AssistantWA
Physician AssistantWA
Physician AssistantUT

Reviews

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Frequently asked questions

What is the registry number for BRENT J WISE (CRNA)?
The registry entry for BRENT J WISE (CRNA) shows NPI 1073753422.
Is BRENT J WISE (CRNA)'s NPI status active today?
Active status means BRENT J WISE (CRNA)'s NPI record is not deactivated in the public file.
What does the directory say BRENT J WISE (CRNA) does?
Insurance directories may phrase it differently, but here BRENT J WISE (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRENT J WISE (CRNA)?
BRENT J WISE (CRNA) is associated with Rochester, Minnesota in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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