Active NPI
Jill E Wilder, CRNA
- Certified Registered Nurse Anesthetist
- Pensacola, FL
National Provider Identifier
1326080664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP1934092
- Practice address
- 1000 W Moreno St
Pensacola, FL 32501-2316 - Phone
- (850) 437-8390
- Fax
- (850) 437-8394
- NPI assigned
- Jun 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | ARNP1934092 | FL | Primary |
Addresses
Primary practice location
1000 W Moreno St
Pensacola, FL 32501-2316
Mailing address
PO Box 10824
Birmingham, AL 35202-0824
Phone (205) 322-1808
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0594 | Other | FL | BCBS |
| 59170259 | Other | AL | BCBS |
| 59170260 | Other | AL | BCBS |
| P00134540 | Other | PALMETTO GBA-RR MEDICARE |
Other names 1
- Jill E Doehla
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 |
|---|---|---|---|
| ARNP1934092 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahp of Central Florida LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Health Care Partners of Florida Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| The Anesthesia Group, P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1104064765
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1518915545
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1871532226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326080664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10824",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352020824",
"telephone_number": "205-322-1808",
"fax_number": "205-322-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W MORENO ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325012316",
"telephone_number": "850-437-8390",
"fax_number": "850-437-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "JILL",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP1934092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G0594",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59170259",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59170260",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RR MEDICARE",
"identifier": "P00134540",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "DOEHLA",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.