Active NPI
Edward T Wilkins, CRNA
- Certified Registered Nurse Anesthetist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9215859
- Practice address
- 719 E New Haven Ave
Melbourne, FL 32901-5459 - Phone
- (321) 726-4024
- Fax
- (321) 984-9547
- NPI assigned
- Jun 10, 2006
- Last updated
- May 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN326069L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 2511 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9215859 | FL | Primary |
| Registered Nurse | 163W00000X | RN326069L | PA |
Addresses
Primary practice location
719 E New Haven Ave
Melbourne, FL 32901-5459
Mailing address
812 Topaz Dr
Rockledge, FL 32955-4035
Phone (321) 637-9197
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44192443603 | Medicaid | PA | |
| 306717300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN326069L | PA | MD | Certified Registered Nurse Anesthetist |
| 2511 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Institute Surgery Center, LLC | Current | Accepting new patients | |
| Central Brevard Anesthesiologists, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Brevard Anesthesia Services PA | Registered Nurse | Past | Accepting new patients |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients | |
| Butler Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Halifax Anesthesiology Associates PA | Past | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients | |
| United Hospital Center, Inc. | Past | Accepting new patients | |
| Ambulatory Surgery Center Support Services | Past | Accepting new patients | |
| Brevard Physician Associates, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| The Stingl Family Foundation, Inc | Past | Accepting new patients |
Locations
1995 W Nasa Blvd
Ste 100
Melbourne, FL 32904
Phone (321) 722-4443
1995 W Nasa Blvd
Melbourne, FL 32904
Phone (321) 674-3912
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Melbourne, FL
- NPI 1548274061
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1902857642
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1699881664
Registered Nurse
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rockledge, FL
- NPI 1205875671
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Daytona Beach, FL
- NPI 1639194590
-
- Anesthesiology Physician
- Butler, PA
- NPI 1154350981
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Bridgeport, WV
- NPI 1376590786
-
- Pain Medicine (Anesthesiology) Physician
- Pittsburgh, PA
- NPI 1386639847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1265473078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 TOPAZ DR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554035",
"telephone_number": "321-637-9197",
"fax_number": "321-637-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 E NEW HAVEN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015459",
"telephone_number": "321-726-4024",
"fax_number": "321-984-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "EDWARD",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN326069L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2511",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9215859",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN326069L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44192443603",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306717300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.