GREGORY WILSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1730150673

GREGORY WILSON (CRNA) is a healthcare provider. based in Moberly, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 132362 (MO). The NPI Number for GREGORY WILSON (CRNA) is 1730150673

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY WILSON (CRNA)
NPI
1730150673
Phone
(573) 686-5550
Address
1303 QUAIL HAVEN DR
Enumeration Date
30 January 2006
Last Update Date
2 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6602693213
Graduation Year
1992 (34 years ago)
PAC ID
4587689328
Group Practice PAC ID
7416083878
Professional Enrollment ID
I20101004001484
Address ID
MO652709407MO1515XAVEX300
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

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for GREGORY WILSON (CRNA)

  • Quail Haven, Moberly, Randolph County, Missouri, 65270, United States

    MOBERLY, MO 652703837

    Phone: (573) 686-5550

    Type: Mailing

  • Moberly Regional Medical Center, 1515, Union Avenue, Moberly, Randolph County, Missouri, 65270, United States

    MOBERLY, MO 652709407

    Phone: (573) 686-5550

    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: 2010-10-04

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
I20101004001484ICertified Registered Nurse Anesthetist (Crna)MOTBD

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
00142Anesthesia for lens surgery2522$0
00910Anesthesia for other procedure on urinary system through urethra1816$0
00812Anesthesia for exam of colon using an endoscope1414$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1211$0
View full utilization report →

Insurance plans in this area (ZIP 65270)

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Provider's Procedures

GREGORY 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 ANESTHETMO00142Anesthesia for lens surgery3128

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: 7416083878View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What number should I use to identify GREGORY WILSON (CRNA) for billing?
Administrative and clinical systems typically use NPI 1730150673 for GREGORY WILSON (CRNA).
Should I treat GREGORY WILSON (CRNA) as an active provider?
Patients and plans typically see GREGORY WILSON (CRNA) as active in the national extract.
How should patients interpret GREGORY WILSON (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for GREGORY WILSON (CRNA). Clinical services aligned with this taxonomy classification.
Is GREGORY WILSON (CRNA) tied to Moberly, Missouri?
If you are local to Moberly, Missouri, GREGORY WILSON (CRNA) may be relevant to your search.
Can I export GREGORY WILSON (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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