WESLEY TYRUS STEWART (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003367574

WESLEY TYRUS STEWART (CRNA) is a healthcare provider. based in Johnson city, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 164147 (TN). The NPI Number for WESLEY TYRUS STEWART (CRNA) is 1003367574

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
WESLEY TYRUS STEWART (CRNA)
NPI
1003367574
Phone
(423) 283-0776
Address
1009 NOVUS DR STE 2
Enumeration Date
20 October 2016
Last Update Date
27 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4233900451
Graduation Year
2016 (10 years ago)
PAC ID
5193000115
Group Practice PAC ID
8921044744
Professional Enrollment ID
I20170314000349
Address ID
TN376046035JO400XXRDXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for WESLEY TYRUS STEWART (CRNA)

  • 1009 NOVUS DR STE 2

    JOHNSON CITY, TN 376048237

    Phone: (423) 283-0776

    Fax: (423) 283-0549

    Type: Mailing

  • Lark Street, Arbor Heights, Johnson City, Washington County, Tennessee, 37604, United States

    JOHNSON CITY, TN 376048218

    Phone: (423) 283-0776

    Fax: (423) 283-0549

    Type: Mailing

  • Johnson City Medical Center, 400, North State of Franklin Road, The Y, Johnson City, Washington County, Tennessee, 37604, United States

    JOHNSON CITY, TN 37604

    Phone: (423) 431-6111

    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: 2017-03-14

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
I20170314000349ICertified Registered Nurse Anesthetist (Crna)TNTBD

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 endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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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: 8921044744View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YTN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

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Frequently asked questions

What is the standard ID for WESLEY TYRUS STEWART (CRNA) in the U.S.?
In the U.S., WESLEY TYRUS STEWART (CRNA) is identified by NPI 1003367574.
Is WESLEY TYRUS STEWART (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists WESLEY TYRUS STEWART (CRNA) as active.
What does the directory say WESLEY TYRUS STEWART (CRNA) does?
Insurance directories may phrase it differently, but here WESLEY TYRUS STEWART (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is WESLEY TYRUS STEWART (CRNA) tied to Johnson City, Tennessee?
If you are local to Johnson City, Tennessee, WESLEY TYRUS STEWART (CRNA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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