PAMALA LEA WILSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1619996030

PAMALA LEA WILSON (CRNA) is a healthcare provider. based in Woodward, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R0082268 (OK). The NPI Number for PAMALA LEA WILSON (CRNA) is 1619996030

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
PAMALA LEA WILSON (CRNA)
NPI
1619996030
Phone
(918) 704-5556
Address
4719 MULBERRY ST
Enumeration Date
18 July 2006
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187012300
Graduation Year
2015 (11 years ago)
PAC ID
1850352584
Group Practice PAC ID
9638461973
Professional Enrollment ID
I20050718000270
Address ID
OK740373465JE3029XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

Provider Addresses for PAMALA LEA WILSON (CRNA)

  • 4719 MULBERRY ST

    WOODWARD, OK 738013854

    Phone: (918) 704-5556

    Type: Mailing

  • 1200 CHILDRENS AVE # 8F

    OKLAHOMA CITY, OK 731044637

    Phone: (405) 271-4750

    Type: Location

  • Dayco Products, 4500, South Garnett Road, Tulsa, Tulsa County, Oklahoma, 74146, United States

    STE 919

    TULSA, OK 741465229

    Phone: (918) 728-6145

    Type: Mailing

  • North 110th East Avenue, Owasso, Tulsa County, Oklahoma, 74021, United States

    OWASSO, OK 740556627

    Phone: (918) 728-6145

    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 $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Abbott Laboratories ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$28
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: 2005-07-18

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
I20050718000270ICertified Registered Nurse Anesthetist (Crna)OKTBD

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 73801)

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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: 9638461973View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YOK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)OK
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

What is the standard ID for PAMALA LEA WILSON (CRNA) in the U.S.?
In the U.S., PAMALA LEA WILSON (CRNA) is identified by NPI 1619996030.
Does the public listing show PAMALA LEA WILSON (CRNA) as active?
PAMALA LEA WILSON (CRNA)'s NPI record reflects an active status in NPPES.
How should patients interpret PAMALA LEA WILSON (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for PAMALA LEA WILSON (CRNA). Clinical services aligned with this taxonomy classification.
Which community is linked to PAMALA LEA WILSON (CRNA)?
PAMALA LEA WILSON (CRNA) shows a connection to Woodward, Oklahoma in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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