MR. BRUCE ANTHONY WILBURN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013255819

MR. BRUCE ANTHONY WILBURN (CRNA) is a healthcare provider. based in Jacksonville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 9264869 (FL). The NPI Number for MR. BRUCE ANTHONY WILBURN (CRNA) is 1013255819

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE ANTHONY WILBURN (CRNA)
NPI
1013255819
Phone
(904) 388-5265
Address
2151 RIVERSIDE AVE
Enumeration Date
29 January 2013
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043888686
Graduation Year
2012 (14 years ago)
PAC ID
2567617665
Group Practice PAC ID
1850515040
Professional Enrollment ID
I20130221000021
Address ID
FL322044416JA2151XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for MR. BRUCE ANTHONY WILBURN (CRNA)

  • 2151 RIVERSIDE AVE

    JACKSONVILLE, FL 322044416

    Phone: (904) 388-5265

    Fax: (904) 387-2659

    Type: Mailing

  • 2165 HERSCHEL ST

    JACKSONVILLE, FL 322043819

    Phone: (904) 387-1220

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $313.

Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ABBVIE INC. ($262).

Total Amount

$313

General + Research + Ownership

Payments

18

Total payment records

General Amount

$313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-02-21

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
I20130221000021ICertified Registered Nurse Anesthetist (Crna)FLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00813Anesthesia for procedure on small and large bowel using an endoscope350347$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope267250$0
00811Anesthesia for other procedure on large bowel using an endoscope263254$0
00812Anesthesia for exam of colon using an endoscope9898$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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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: 1850515040View full group profile
NameSpecialtyState
Nurse PractitionerFL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Gastroenterology, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What identifier follows MR. BRUCE ANTHONY WILBURN (CRNA) across health systems?
The NPI 1013255819 uniquely identifies MR. BRUCE ANTHONY WILBURN (CRNA) in U.S. healthcare data.
Does the public listing show MR. BRUCE ANTHONY WILBURN (CRNA) as active?
MR. BRUCE ANTHONY WILBURN (CRNA)'s NPI record reflects an active status in NPPES.
What type of care does MR. BRUCE ANTHONY WILBURN (CRNA) provide?
MR. BRUCE ANTHONY WILBURN (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. BRUCE ANTHONY WILBURN (CRNA)?
MR. BRUCE ANTHONY WILBURN (CRNA) is associated with Jacksonville, Florida in the same public data insurers reference.
Can I export MR. BRUCE ANTHONY WILBURN (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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