Active NPI
Amos Herr Wilkinson, CRNA
- Certified Registered Nurse Anesthetist
- Nogales, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA0397
- Practice address
- 1171 W Target Range Rd
Nogales, AZ 85621-2415 - Phone
- (520) 285-3000
- NPI assigned
- Jun 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA0397 | AZ | Primary |
Addresses
Primary practice location
1171 W Target Range Rd
Nogales, AZ 85621-2415
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7536
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104537 | Medicaid | AZ | |
| Z145141 | Other | AZ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone (520) 285-3000
3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2657
Phone (888) 724-6236
Hospital & facility affiliations
- St. Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.74 of 100
- Quality
- 79.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA0397 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ascend Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeastern Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Globe Crna Company, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Arizona Diagnostic Pathology Associates PLLC | Past | Accepting new patients | |
| Anesthesia Medical Professionals, PC | Past | Accepting new patients |
Locations
3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1407642945
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
Nurse Anesthetist, Certified Registered
-
- Specialist
- Sun City West, AZ
- NPI 1801849500
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1326222696
-
- Certified Registered Nurse Anesthetist
- Globe, AZ
- NPI 1164482790
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265818488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1255375747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N FORBES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451412",
"telephone_number": "520-872-7536",
"fax_number": "520-872-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 W TARGET RANGE RD",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856212415",
"telephone_number": "520-285-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "AMOS",
"middle_name": "HERR",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA0397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104537",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z145141",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nogales, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.