DR. ANDREW ROGER WILSNACK (MD) – Anesthesiology Physician, NPI 1225613854

DR. ANDREW ROGER WILSNACK (MD) is a healthcare provider. based in Oceanside, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. A204175 (CA). The NPI Number for DR. ANDREW ROGER WILSNACK (MD) is 1225613854

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW ROGER WILSNACK (MD)
NPI
1225613854
Phone
(760) 719-3361
Address
200 MERCY CIRCLE
Enumeration Date
15 March 2021
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516771111
Graduation Year
2021 (5 years ago)
PAC ID
6204329204
Group Practice PAC ID
7012355423
Professional Enrollment ID
I20251207000062
Address ID
CA925959681WI36485DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

Provider Addresses for DR. ANDREW ROGER WILSNACK (MD)

  • 200 MERCY CIRCLE

    ANESTHESIOLOGY AND PERIOPERATIVE MEDICINE

    OCEANSIDE, CA 92055

    Phone: (760) 719-3361

    Type: Location

  • 8955 WOOD RD

    GRADUATE MEDICAL EDUCATION

    BETHESDA, MD 208895628

    Phone: (301) 295-4000

    Type: Location

  • 101 The City Dr S

    Orange, CA 928683201

    Phone: (714) 456-8888

    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: 2025-12-07

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
I20251207000062IAnesthesiologyCATBD

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 92055)

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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: 7012355423View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YLA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TX

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Frequently asked questions

What number should I use to identify DR. ANDREW ROGER WILSNACK (MD) for billing?
Administrative and clinical systems typically use NPI 1225613854 for DR. ANDREW ROGER WILSNACK (MD).
Should I treat DR. ANDREW ROGER WILSNACK (MD) as an active provider?
Patients and plans typically see DR. ANDREW ROGER WILSNACK (MD) as active in the national extract.
Which specialty label fits DR. ANDREW ROGER WILSNACK (MD)?
NPPES ties DR. ANDREW ROGER WILSNACK (MD) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ANDREW ROGER WILSNACK (MD)?
DR. ANDREW ROGER WILSNACK (MD) is associated with Oceanside, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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