MR. TERRY LEE WILSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174671853
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
Provider Addresses for MR. TERRY LEE WILSON (CRNA)
1050 DIVISION ST
MAUSTON, WI 539481931
Phone: (608) 847-6161
Type: Mailing
Fort Atkinson Memorial Hospital, 611, Sherman Avenue East, Fort Atkinson, Jefferson County, Wisconsin, 53538, United States
FORT ATKINSON, WI 535381960
Phone: (920) 568-5000
Type: Location
4323, Fox Hills Drive, Castlemore Estates, Janesville, Rock County, Wisconsin, 53546, United States
JANESVILLE, WI 535468886
Phone: (608) 752-6619
Type: Mailing
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-05-17 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $14 |
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: 2004-03-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040316000465 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
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.
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 53948)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Orthopedic Surgery | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WI | |
| General Surgery | WI | |
| - | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI |
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