Jeremiah Ennen
NPI 1497575260ActiveIndividual· Nurse Anesthetist, Certified Registered· Neenah, WI
Nurse Anesthetist, Certified Registered with Mayo Clinic Health System-Northwest Wisconsin Region Inc, practicing in Neenah, Wisconsin. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Mayo Clinic Health System Eau Claire Hospital as a hospital affiliation.
Overview
| NPI | 1497575260 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 15, 2024 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 1104464 | WI |
| Registered Nurse, Continuing Education/Staff Development | 163WC1600X | 1104464 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WI) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Mayo Clinic Health System-Northwest Wisconsin Region IncEau Claire, WI · 802 clinicians
Hospital affiliation
- Mayo Clinic Health System Eau Claire HospitalEau Claire, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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