Heather Wilson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN11037148 Issued in FL

Practice address

4035 Southpoint Blvd
Jacksonville, FL 32216-0949

Phone

(904) 507-6077

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians

Tranquil Anesthesiology LLCGroup PAC ID 0749598001, 26 clinicians

Quiescence Anesthesia LLCGroup PAC ID 2567750359, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.38 of 100Reported as group

Quality

75.51

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Overwatch Anesthesia

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1528616810

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Quiescence Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1942671805

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Tranquil Anesthesiology LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1235514456

  FL

  Medicare reassignment Care Compare group NPD
• Ironcrest Anesthesia LLC

  • Anesthesiology Physician
  • Milledgeville, GA
  • NPI 1114815271

  FL

  Medicare reassignment NPD
• Guide Anesthesia FL LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1073408514
  Medicare reassignment
• Uscan Anesthesiology Medical Group, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1740227123

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1265478911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917291448",
            "telephone_number": "323-555-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 SOUTHPOINT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160949",
            "telephone_number": "904-507-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14850 Roscoe Blvd",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914024618",
            "country_code": "US",
            "telephone_number": "323-555-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2955",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11037148",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA#2955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NA0029550",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN5669950",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00021359",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "RN5669950328",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Carter Wilson, D.C.
• Gail Wilson, MS
• George Rice Wilson III, MD
• Gloria Wilson
• Hazel Wilson
• Henry A Wilson Jr., MS
• Holly Marie Wilson
• Jamie Lynn Wilson, PA-C
• Jazmin Marielis Wilson
• Jessica Wilson

• Certified Registered Nurse Anesthetist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.