BRENTON WILSON (APRN,CRNA) – Certified Registered Nurse Anesthetist, NPI 1073290342

BRENTON WILSON (APRN,CRNA) is a healthcare provider. based in Everett, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN,CRNA. They hold a License No. AP61480337 (WA). The NPI Number for BRENTON WILSON (APRN,CRNA) is 1073290342

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
BRENTON WILSON (APRN,CRNA)
NPI
1073290342
Phone
(142) 540-7100
Address
PO BOX 4069
Enumeration Date
29 June 2023
Last Update Date
19 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
5094743131
Graduation Year
2023 (3 years ago)
PAC ID
8123473246
Group Practice PAC ID
0840279758
Professional Enrollment ID
I20231117003030
Address ID
WA992042307SP101XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for BRENTON WILSON (APRN,CRNA)

  • PO BOX 4069

    EVERETT, WA 982040007

    Phone: (142) 540-7100

    Type: Mailing

  • 101 W 8TH AVE

    SPOKANE, WA 992042307

    Phone: (509) 747-3181

    Fax: (509) 227-7070

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$17
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: 2023-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231010002237ICertified Registered Nurse Anesthetist (Crna)NDTBD
I20231117003030ICertified Registered Nurse Anesthetist (Crna)WATBD

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 98204)

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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: 0840279758View full group profile
NameSpecialtyState
-MT
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YUT
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How do I look up BRENTON WILSON (APRN,CRNA) by NPI?
Use NPI 1073290342 when you need to reference BRENTON WILSON (APRN,CRNA) in forms, claims, or directories.
Is BRENTON WILSON (APRN,CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRENTON WILSON (APRN,CRNA)'s specialty in plain language?
Clinically, the directory lists BRENTON WILSON (APRN,CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place BRENTON WILSON (APRN,CRNA)?
The snapshot lists Everett, Washington for BRENTON WILSON (APRN,CRNA); download NPPES for the complete set.
How can I contact BRENTON WILSON (APRN,CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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