JUSTIN EISBERNER – Certified Registered Nurse Anesthetist, NPI 1063277960

JUSTIN EISBERNER is a healthcare provider. based in Onalaska, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 176193-30 (WI). The NPI Number for JUSTIN EISBERNER is 1063277960

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN EISBERNER
NPI
1063277960
Phone
(608) 224-9999
Address
2097 ABBEY RD APT 201
Enumeration Date
19 February 2024
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207293100
Graduation Year
2024 (2 years ago)
PAC ID
7416495395
Group Practice PAC ID
3476539875
Professional Enrollment ID
I20240812000710
Address ID
WI549562883NE130XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

1,148 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for JUSTIN EISBERNER

  • 2097 ABBEY RD APT 201

    ONALASKA, WI 546506600

    Phone: (608) 224-9999

    Type: Mailing

  • 130 2ND ST

    NEENAH, WI 549562883

    Phone: (920) 729-3100

    Type: Location

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: 2024-08-12

PECOS data refreshed: 2026-06-15

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
I20240812000710ICertified Registered Nurse Anesthetist (Crna)WITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54650)

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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: 3476539875View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
-GA
Certified Registered Nurse Anesthetist (Crna)WI
-ND
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWI

Reviews

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Frequently asked questions

Can I verify JUSTIN EISBERNER with an NPI only?
You can start verification with NPI 1063277960 for JUSTIN EISBERNER, then check state licensing separately.
Can I rely on JUSTIN EISBERNER being an active provider?
As of the registry snapshot, JUSTIN EISBERNER is marked active.
What is JUSTIN EISBERNER's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for JUSTIN EISBERNER here. Clinical services aligned with this taxonomy classification.
What address line appears for JUSTIN EISBERNER?
JUSTIN EISBERNER's geographic hint is Onalaska, Wisconsin in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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