JEREMIAH BRANDON WILSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1902955008

JEREMIAH BRANDON WILSON (CRNA) is a healthcare provider. based in Tyler, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 074369 (TX). The NPI Number for JEREMIAH BRANDON WILSON (CRNA) is 1902955008

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JEREMIAH BRANDON WILSON (CRNA)
NPI
1902955008
Phone
(903) 595-4144
Address
1424 EAST FRONT
Enumeration Date
9 January 2007
Last Update Date
17 December 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035954333
Graduation Year
2005 (21 years ago)
PAC ID
9739195678
Group Practice PAC ID
9537253414
Professional Enrollment ID
I20060301000455
Address ID
TX757011900TY802XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for JEREMIAH BRANDON WILSON (CRNA)

  • 1424, East Front Street, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 757028501

    Phone: (903) 595-4144

    Type: Location

  • PO BOX 130639

    TYLER, TX 757130639

    Phone: (903) 595-4144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $760.

Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Boston Scientific Corporation ($607).

Total Amount

$760

General + Research + Ownership

Payments

37

Total payment records

General Amount

$760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

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: 2006-03-01

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
I20060301000455ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
01942Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance8865$0
00142Anesthesia for lens surgery4545$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance4131$0
01941Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of neck or upper back accessed through skin using imaging guidance1814$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1414$0
View full utilization report →

Insurance plans in this area (ZIP 75702)

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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: 9537253414View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEREMIAH BRANDON WILSON (CRNA)?
JEREMIAH BRANDON WILSON (CRNA) — NPI 1902955008 — is the standard way to identify this listing.
Is JEREMIAH BRANDON WILSON (CRNA) listed as active for patients and plans?
The listing shows JEREMIAH BRANDON WILSON (CRNA) as active in the NPI system.
What is JEREMIAH BRANDON WILSON (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for JEREMIAH BRANDON WILSON (CRNA) here. Clinical services aligned with this taxonomy classification.
Where is JEREMIAH BRANDON WILSON (CRNA) based?
JEREMIAH BRANDON WILSON (CRNA) is tied to Tyler, Texas in the data we show; additional addresses may exist on the full record.
Is the information about JEREMIAH BRANDON WILSON (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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