JEREMY L WILSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1902275142

JEREMY L WILSON (CRNA) is a healthcare provider. based in Alpharetta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 212544-6 (MN). The NPI Number for JEREMY L WILSON (CRNA) is 1902275142

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY L WILSON (CRNA)
NPI
1902275142
Phone
(770) 643-5619
Address
2655 NORTHWINDS PKWY
Enumeration Date
17 September 2015
Last Update Date
27 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092217000
Graduation Year
2015 (11 years ago)
PAC ID
9234156324
Group Practice PAC ID
7416198049
Professional Enrollment ID
I20151106001932
Address ID
WA993382722KE3810XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for JEREMY L WILSON (CRNA)

  • 2655 NORTHWINDS PKWY

    ALPHARETTA, GA 300092280

    Phone: (770) 643-5619

    Fax: (678) 352-4322

    Type: Mailing

  • 888 SWIFT BLVD

    RICHLAND, WA 993523514

    Phone: (770) 643-5619

    Fax: (678) 352-4322

    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: 2023-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151106001932ICertified Registered Nurse Anesthetist (Crna)WATBD
I20230517002014ICertified Registered Nurse Anesthetist (Crna)ORTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 30009)

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Provider's Procedures

JEREMY L WILSON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWA00790Anesthesia for procedure in upper abdomen including use of an endoscope1414
CERTIFIED REGISTERED NURSE ANESTHETWA01402Anesthesia for open or endoscopic total knee joint replacement2222
CERTIFIED REGISTERED NURSE ANESTHETWA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1919

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: 7416198049View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
-NC
Certified Registered Nurse Anesthetist (Crna)MS
-TN
Certified Registered Nurse Anesthetist (Crna)WV
-GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)TX
-NC
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

Can I cross-check JEREMY L WILSON (CRNA) using NPI 1902275142?
NPI 1902275142 belongs to JEREMY L WILSON (CRNA); compare other details if you need extra assurance.
Is JEREMY L WILSON (CRNA) shown as active in public data?
Registry records indicate JEREMY L WILSON (CRNA) maintains an active NPI.
What expertise is attributed to JEREMY L WILSON (CRNA)?
JEREMY L WILSON (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JEREMY L WILSON (CRNA) located near Alpharetta?
JEREMY L WILSON (CRNA) currently maps to Alpharetta, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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