Active NPI
Jason Earl Wilson, C.R.N.A.
- Certified Registered Nurse Anesthetist
- London, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3004775
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G3425 | Other | FL | BCBS |
| 306753000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3143422 | FL | MD | Certified Registered Nurse Anesthetist |
| 3004775 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kentucky Anesthesia Group, PSC | Nurse Anesthetist, Certified Registered | Current | 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 | Past | 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 | Past | Accepting new patients |
| Radiology Inc | Past | 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.
-
- Anesthesiology Physician
- Georgetown, KY
- NPI 1073608634
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Madisonville, KY
- NPI 1972129286
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corbin, KY
- NPI 1831207067
Nurse Anesthetist, Certified Registered
-
dba Kentucky River ER, Anesth, Radiology
- Emergency Medicine Physician
- Jackson, KY
- NPI 1679774996
Nurse Anesthetist, Certified Registered
-
- Specialist
- Clearwater, FL
- NPI 1396772620
-
- Anesthesiology Physician
- Hudson, FL
- NPI 1306889910
-
- Specialist
- Brandon, FL
- NPI 1902957228
-
- Contractor
- Brooksville, FL
- NPI 1831130889
-
- Pain Clinic/Center
- Clearwater, FL
- NPI 1477585883
-
- Certified Registered Nurse Anesthetist
- Largo, FL
- NPI 1831151661
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1730141474
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
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.