Jeffery Antonissen, CRNA
NPI 1760494512 · Certified Registered Nurse Anesthetist · Green Bay, WI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffery Antonissen, CRNA is a Certified Registered Nurse Anesthetist provider in Green Bay, WI (NPI 1760494512).
Provider details
- NPI number
- 1760494512
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 113583 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Frequently asked questions
- What is Jeffery Antonissen's NPI number?
- Jeffery Antonissen's National Provider Identifier (NPI) is 1760494512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffery Antonissen's specialty?
- Jeffery Antonissen is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeffery Antonissen located?
- Jeffery Antonissen's practice location on file with NPPES is 2845 Greenbrier Rd, Green Bay, WI 54311-6519.
- What is Jeffery Antonissen's phone number?
- The practice phone number listed in the NPPES registry for Jeffery Antonissen is (920) 288-3388.
- Does Jeffery Antonissen accept Medicare?
- Jeffery Antonissen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffery Antonissen's NPI active?
- Yes — Jeffery Antonissen's NPI (1760494512) is active in the NPPES registry as of the last update on 2026-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.