MR. STEVEN EDWARD WILDASIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1285614560

MR. STEVEN EDWARD WILDASIN (CRNA) is a healthcare provider. based in Orange park, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 9223320 (FL). The NPI Number for MR. STEVEN EDWARD WILDASIN (CRNA) is 1285614560

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEVEN EDWARD WILDASIN (CRNA)
NPI
1285614560
Phone
(904) 272-3785
Address
286 RIDGELINE CT
Enumeration Date
20 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042768500
Graduation Year
1995 (31 years ago)
PAC ID
6406863422
Group Practice PAC ID
8123434792
Professional Enrollment ID
I20060316000330
Address ID
FL320735148OR2001XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MR. STEVEN EDWARD WILDASIN (CRNA)

  • 286 RIDGELINE CT

    ORANGE PARK, FL 320655715

    Phone: (904) 272-3785

    Type: Mailing

  • Naval Hospital Jacksonville, 2080, Child Street, Jacksonville, Duval County, Florida, 32214, United States

    2080 CHILD STREET

    JACKSONVILLE, FL 322140001

    Phone: (904) 542-7631

    Fax: (904) 542-7623

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2023-03-31 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($79).

Total Amount

$79

General + Research + Ownership

Payments

2

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-31

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2006-03-16

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
I20060316000330ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32065)

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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: 8123434792View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Anesthesiology, Critical Care (Intensivists)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NY

Reviews

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Frequently asked questions

How do I look up MR. STEVEN EDWARD WILDASIN (CRNA) by NPI?
Use NPI 1285614560 when you need to reference MR. STEVEN EDWARD WILDASIN (CRNA) in forms, claims, or directories.
Is MR. STEVEN EDWARD WILDASIN (CRNA) currently active in the NPI registry?
CMS-published data lists MR. STEVEN EDWARD WILDASIN (CRNA) as an active registrant.
What does MR. STEVEN EDWARD WILDASIN (CRNA) treat or focus on?
Patients typically see MR. STEVEN EDWARD WILDASIN (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. STEVEN EDWARD WILDASIN (CRNA)?
The page summarizes Orange Park, Florida for MR. STEVEN EDWARD WILDASIN (CRNA); expand the address list for detail.
What if Orange Park, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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