MATTHEW ROYAL WILSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1356988547
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI
Provider Addresses for MATTHEW ROYAL WILSON (CRNA)
602 JACKSON ST
PETOSKEY, MI 497702220
Phone: (231) 348-2795
Fax: (231) 348-2031
Type: Location
555 KINGSLEY TRL
BLOOMFIELD HILLS, MI 483042317
Phone: (248) 736-2037
Type: Mailing
36475 FIVE MILE RD
LIVONIA, MI 481541971
Phone: (734) 655-4800
Type: Location
416 CONNABLE AVE
PETOSKEY, MI 497702212
Phone: (231) 348-2795
Fax: (231) 348-2031
Type: Location
NPPES updates history
- Provider•UpdatedJun 10, 2026
Fields: Last update date, Certification date
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($85).
Total Amount
$100
General + Research + Ownership
Payments
6
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $85 |
| Takeda Pharmaceuticals U.S.A., Inc. | $15 |
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: 2020-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200324003594 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
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.
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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 24 | 24 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 12 | 12 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 49770)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Anesthesiology, Interventional Pain Management | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| A N E S T H E S I O L O G Y | MI |
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