Jeffery P Antonissen is a Green Bay, Wisconsin based nurse anesthetist with 27 years of experience as Anesthesia Administration. He completed he graduation in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jeffery P Antonissen is 113583 for Anesthesia Administration in Wisconsin. his current practice location is 2845 Greenbrier Rd, Green Bay. Patients can reach him at 920-288-3388 or can fax him at 920-288-3370. Jeffery P Antonissen is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1760494512. Jeffery P Antonissen is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jeffery P Antonissen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
27+ years
Medical School Attended:
Other
Graduation Year:
1998
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2845 Greenbrier Rd, Green Bay, Wisconsin, 54311-6519
Phone:
920-288-3388
Fax:
920-288-3370
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8628110368
Enrollment ID:
I20100119000648
NPI Number:
1760494512
NPI Enumeration Date:
12 Aug, 2006
NPI Last Update On:
09 Apr, 2024
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffery P Antonissen are as mentioned below.
License Number
Specialization
State
Status
113583
Anesthesia Administration
Wisconsin
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Aurora Baycare Medical Ctr (520193)
Green bay, WI
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jeffery P Antonissen has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Baycare Clinic Llp (4385554328)
175
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffery P Antonissen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
104521249
Medicaid
Michigan
104521230
Medicaid
Michigan
43399100
Medicaid
Wisconsin
P00033987
Other
Wisconsin
RAILROAD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1035 Kepler Dr, Green Bay, Wisconsin
Zip:
54311-8320
Phone Number:
920-490-9046
Fax Number:
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Patients can reach Jeffery P Antonissen at 2845 Greenbrier Rd, Green Bay, Wisconsin or can call to book an appointment on 920-288-3388.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.