MARK E WILSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1881608800

MARK E WILSON (CRNA) is a healthcare provider. based in Tooele, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 3110304406 (UT). The NPI Number for MARK E WILSON (CRNA) is 1881608800

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MARK E WILSON (CRNA)
NPI
1881608800
Phone
(435) 843-3600
Address
2055 N MAIN ST
Enumeration Date
27 July 2006
Last Update Date
7 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9703751550
Graduation Year
2003 (23 years ago)
PAC ID
4789589920
Group Practice PAC ID
5890927404
Professional Enrollment ID
I20100702000267
Address ID
WY829014753RO2761XWAYX300
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

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

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Provider Addresses for MARK E WILSON (CRNA)

  • Mountain West Medical Center, 2055, North Main Street, Tooele, Tooele County, Utah, 84074, United States

    TOOELE, UT 840749819

    Phone: (435) 843-3600

    Type: Location

  • 9895, Eden Crest Road, Southwood Manor, South Jordan, Salt Lake County, Utah, 84095, United States

    SOUTH JORDAN, UT 840953011

    Phone: (801) 254-6169

    Type: Mailing

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: 2010-07-02

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
I20100702000267ICertified Registered Nurse Anesthetist (Crna)WYTBD

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
00812Anesthesia for exam of colon using an endoscope2828$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2726$0
00813Anesthesia for procedure on small and large bowel using an endoscope1616$0
00142Anesthesia for lens surgery1212$0
00160Anesthesia for other procedure on nose and sinuses1212$0
View full utilization report →

Insurance plans in this area (ZIP 84074)

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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: 5890927404View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)SD
Certified Registered Nurse Anesthetist (Crna)ID

Reviews

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Frequently asked questions

What is the registry number for MARK E WILSON (CRNA)?
The registry entry for MARK E WILSON (CRNA) shows NPI 1881608800.
Is MARK E WILSON (CRNA)'s NPI status active today?
Active status means MARK E WILSON (CRNA)'s NPI record is not deactivated in the public file.
Which specialty label fits MARK E WILSON (CRNA)?
NPPES ties MARK E WILSON (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MARK E WILSON (CRNA)?
MARK E WILSON (CRNA) shows a connection to Tooele, Utah in registry-derived data.
Who maintains MARK E WILSON (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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