DR. MICHAEL DANIEL WILSON (DNAP, CRNA) – Certified Registered Nurse Anesthetist, NPI 1205418209

DR. MICHAEL DANIEL WILSON (DNAP, CRNA) is a healthcare provider. based in Augusta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNAP, CRNA. They hold a License No. RN239744 (GA). The NPI Number for DR. MICHAEL DANIEL WILSON (DNAP, CRNA) is 1205418209

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DANIEL WILSON (DNAP, CRNA)
NPI
1205418209
Phone
Not provided
Address
112 WARREN RD
Enumeration Date
28 April 2021
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2021 (5 years ago)
PAC ID
6901200237
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20210810000583
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for DR. MICHAEL DANIEL WILSON (DNAP, CRNA)

  • 112 WARREN RD

    AUGUSTA, GA 309073755

    Phone:

    Type: Mailing

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone: (706) 721-0211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-01-26 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$29
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: 2021-08-10

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
I20210810000583ICertified Registered Nurse Anesthetist (Crna)GATBD

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 30907)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Is DR. MICHAEL DANIEL WILSON (DNAP, CRNA) listed with a National Provider Identifier?
Yes — DR. MICHAEL DANIEL WILSON (DNAP, CRNA) has NPI 1205418209 on file in the registry.
Is DR. MICHAEL DANIEL WILSON (DNAP, CRNA) shown as active in public data?
Registry records indicate DR. MICHAEL DANIEL WILSON (DNAP, CRNA) maintains an active NPI.
How would a patient describe DR. MICHAEL DANIEL WILSON (DNAP, CRNA)'s focus?
For DR. MICHAEL DANIEL WILSON (DNAP, CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL DANIEL WILSON (DNAP, CRNA) located near Augusta?
DR. MICHAEL DANIEL WILSON (DNAP, CRNA) currently maps to Augusta, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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