Active NPI
Alyssa Marie Wilson, CRNA
- Certified Registered Nurse Anesthetist
- Turnersville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 135966
- Practice address
- 435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453 - Phone
- (856) 582-2500
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 135966 | PA | Primary |
Addresses
Primary practice location
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Mailing address
15000 Midlantic Dr Ste 102
Mount Laurel, NJ 08054-1573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (732) 264-1127
655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone (732) 450-6000
Hospital & facility affiliations
- Jefferson Stratford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135966 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shrewsbury Ambulatory Anesthesia LLC | Current | Accepting new patients |
Locations
2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500
130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1073285367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15000 MIDLANTIC DR STE 102",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 HURFFVILLE CROSS KEYS RD",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080122453",
"telephone_number": "856-582-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "135966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Turnersville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.