Individual provider Active NPI

Paul Wilkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
National Provider Identifier
1326307554
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60290412 Issued in WA
Practice address
101 W 8TH Ave
Spokane, WA 99204-2307
Phone
(509) 474-3131
NPI assigned
May 8, 2012
Last updated
May 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP60290412 WA Primary
Registered Nurse 163W00000X RN00175840 WA

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99204-2307

Mailing address

38 E Garland Ave
Spokane, WA 99207-1720
Phone (870) 897-1774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170802002004 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092961177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Southern California PCGroup PAC ID 5890273403, 13 clinicians

Practice addresses (Care Compare)

1001 N Tustin Ave
Santa Ana, CA 92705-3502
Phone (714) 953-3500

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

26781 Portola Pkwy
Suite 4E
Foothill Ranch, CA 92610-1758
Phone (949) 251-1502

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Anesthesia Associates of Southern California PC CurrentSince Jan 26, 2026 Accepting new patients
Aspen Anesthesia Services Pain Experts and Nursing Networks Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2023 Accepting new patients
Glenwood Surgical Center L P Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Providence Health & Service- Washington Past Accepting new patients
Wellhealth Medical Group, PC Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

26781 Portola Pkwy
Ste 4E
Foothill Rnch, CA 92610
Phone (949) 251-1502

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

8945 Magnolia Ave
Ste 200
Riverside, CA 92503
Phone (951) 643-4961

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1326307554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071720",
            "telephone_number": "870-897-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-474-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60290412",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00175840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.