CHARLIE K. JR. WILSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1649688656

Certified Registered Nurse Anesthetist

CHARLIE K. JR. WILSON (CRNA) is a healthcare provider. based in Atchison, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 557391 (KS). The NPI Number for CHARLIE K. JR. WILSON (CRNA) is 1649688656

Main info

Male

13 Years Of Experience

Accepts Medicare Assignment

Name

CHARLIE K. JR. WILSON (CRNA)

NPI

1649688656

Phone

(913) 367-2131

Address

800 RAVEN HILL DRIVE

Enumeration Date

23 July 2014

Last Update Date

15 December 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4173266000

Graduation Year

2013 (13 years ago)

PAC ID

4587881925

Group Practice PAC ID

2769574433

Professional Enrollment ID

I20140808001190

Address ID

MO656133011BO1500XAVEX405

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:11State licenses:1Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for CHARLIE K. JR. WILSON (CRNA)

800 RAVEN HILL DRIVE
ATCHISON, KS 66002
Phone: (913) 367-2131
Fax: (913) 674-2023
Mailing address matches the actual address.

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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

Total payment records

General Amount

$24

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Merck Sharp & Dohme LLC	$24

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: 2014-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1012 days ago).

Enrollment records

Earliest due date

2023-08-31

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20140808001190	I	Certified Registered Nurse Anesthetist (Crna)	MO	2023-08-31

What to do next

Verify current status on the CMS Revalidation Lookup Tool immediately.
Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
Overdue revalidation can lead to deactivation of Medicare billing privileges.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00142	Anesthesia for lens surgery	16	16	$0

View full utilization report →

Insurance plans in this area (ZIP 66002)

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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: 2769574433View full group profile

Name	Specialty	State
DR. NATHANIEL ALAN PEARL (DO)	Emergency Medicine	MO
EMILY LOUISE WICKERSHAM (DO)	P A T H O L O G Y	HI
DR. ANDREW VINCENT NICHOLES (DO)	-	MO
DARREL ROBBINS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
DR. PRACHI BALIRAM RAUT (M.B.B.S.)	P A T H O L O G Y	MN
SEONG-WOOK SEO (M.D.)	Interventional Pain Management, Anesthesiology	NM
DR. JARED LEVY ROSS (DO)	Emergency Medicine	MO
Unknown Individual	-	MO
ERIC S ENGLISH	Certified Registered Nurse Anesthetist (Crna)	MO
JAMES JOSEPH EVRETTE WELLS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO

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Frequently asked questions

How do I look up CHARLIE K. JR. WILSON (CRNA) by NPI?

Use NPI 1649688656 when you need to reference CHARLIE K. JR. WILSON (CRNA) in forms, claims, or directories.

Is CHARLIE K. JR. WILSON (CRNA) active in the national directory?

CHARLIE K. JR. WILSON (CRNA)'s public NPI profile is in an active state.

Can you summarize CHARLIE K. JR. WILSON (CRNA)'s specialty in plain language?

Clinically, the directory lists CHARLIE K. JR. WILSON (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where is CHARLIE K. JR. WILSON (CRNA)'s primary listing?

We display Atchison, Kansas because that is what the record indicates for CHARLIE K. JR. WILSON (CRNA).

How can I contact CHARLIE K. JR. WILSON (CRNA)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.