Individual provider Active NPI

Jason Earl Wilson, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • London, KY
National Provider Identifier
1255316808
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3004775 Issued in KY
Practice address
242 Deerfoot Dr
London, KY 40741-8849
Phone
(606) 862-2686
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP3143422 FL
Certified Registered Nurse Anesthetist 367500000X 3004775 KY Primary

Addresses

Primary practice location

242 Deerfoot Dr
London, KY 40741-8849

Mailing address

242 Deerfoot Dr
London, KY 40741-8849
Phone (606) 862-2686

Other identifiers 2

IdentifierTypeStateIssuer
G3425OtherFLBCBS
306753000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061115000139 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698750461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Kentucky Anesthesia Group PSCGroup PAC ID 4082527890, 38 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

9 Linville Rd
Paris, KY 40361-2129
Phone (859) 987-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP3143422FLMDCertified Registered Nurse Anesthetist
3004775KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2026 Accepting new patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2009 Accepting new patients
Associates of Anesthesiology, LLC Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
Anesthesia Associates of Pinellas County Past Accepting new patients
Spinecare Associates, LLC Past Accepting new patients
Bay Anesthesia Inc PastSince Jan 6, 2015 Accepting new patients
Ultimate Anesthesiology LLC Past Accepting new patients
Jackson Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Grogan Smith & Martini PL Nurse Anesthetist, Certified Registered PastSince Jun 2, 2024 Accepting new patients
Radiology Inc PastSince Aug 12, 2012 Accepting new patients
Guardian Anesthesia Services PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Covenant Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Definitive Medical Solutions, PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiologist Associates PA Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

275 Highway 770
Corbin, KY 40701
Phone (606) 526-7874

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1255316808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 DEERFOOT DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418849",
            "telephone_number": "606-862-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 DEERFOOT DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418849",
            "telephone_number": "606-862-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASON",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3143422",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3004775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3425",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306753000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.

Verify at the official NPI Registry.