Individual provider Active NPI

Scott J Wilson, CRNA

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
National Provider Identifier
1316928898
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN250030L Issued in PA
Practice address
451 W Chew St
Suite 409
Allentown, PA 18102-3472
Phone
(610) 770-3130
Fax
(610) 770-3452
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN250030L PA Primary

Addresses

Primary practice location

451 W Chew St
Suite 409
Allentown, PA 18102-3472

Mailing address

421 W Chew St
Allentown, PA 18102-3406
Phone (610) 776-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000609 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294622726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of North America PCGroup PAC ID 1658698824, 49 clinicians

Practice addresses (Care Compare)

2310 Highland Ave
Bethlehem, PA 18020-8920
Phone (610) 861-8080

2752 Century Blvd
Wyomissing, PA 19610-3345
Phone (610) 378-8807

Hospital & facility affiliations

  • Surgical Institute of Reading Hospital, Wyomissing, PA, CCN 390316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024166684VAMDFamily Nurse Practitioner
RN250030LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Services of North America P.C. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2015 Accepting new patients
Tower Health Medical Group Nurse Anesthetist, Certified Registered Past Accepting new patients
Delaware Valley Anesthesia Associates, PC Past Accepting new patients
Anesthesia Associates of Easton, P C Past Accepting new patients
Blair County Anesthesia, P.C. Past Accepting new patients
Anesthesia Specialists of Bethlehem, PC Nurse Anesthetist, Certified Registered PastSince Oct 21, 2025 Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients
Sacred Heart Healthcare System Past Accepting new patients
Lexington Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Sacred Heart Healthcare System Past Accepting new patients

Locations

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

7918 Main St
Unit 204
Fogelsville, PA 18051
Phone (610) 366-9536

219 S Balliet St
Frackville, PA 17931
Phone (570) 874-3404

100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800

2220 Ridgewood Rd
Wyomissing, PA 19610
Phone (484) 628-5134

1280 Broadcasting Rd
Wyomissing, PA 19610
Phone (215) 949-3100

2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 378-8800

Interoperability endpoints

  • Direct secure messaging: swilson59256@epicdirect.rwjbh.org

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.

Hospital & facility affiliations 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316928898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5100",
            "fax_number": "610-663-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W CHEW ST",
            "address_2": "SUITE 409",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023472",
            "telephone_number": "610-770-3130",
            "fax_number": "610-770-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN250030L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.