Margaret Ellen Wilson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Cherry Valley, NY
NPI 1356303457 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356303457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0024166474 (VA)
- Practice address
- 3001 Co Rd 31
Cherry Valley, NY 13320 - Phone
- (607) 264-3337
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Missouri, Kansas City, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ultracare Anesthesia Partners LLC
Medstream Anesthesia PLLC
Westmoreland ASC LLC
Practice addresses (Care Compare)
1079 E Park Dr
Harrisburg, PA 17111-2812
Phone (223) 279-0290
17 Belmont Ave
Brattleboro, VT 05301-7601
Phone (802) 257-0341
5325 State Route 233
Westmoreland, NY 13490-1322
Phone (315) 801-5060
Hospital & facility affiliations
- Brattleboro Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in PA, NY, VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070110000163 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1850312273 | Reassigns benefits to 1 organization |
| I20111116000559 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1850312273 | Reassigns benefits to 4 organizations |
| I20220919001468 | VT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1850312273 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166474 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Healthcare | Current |
Accepting new patients | |
| Ultracare Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Premier Anesthesia of New York, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Westmoreland ASC, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Griffiss Ec, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| St. Mary'S Healthcare | Current |
Accepting new patients | |
| Anesthesia Healthcare Partners, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
105 Dart Cir
Rome, NY 13441
Phone (315) 334-6918
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
5325 State Route 233
Westmoreland, NY 13490
Phone (315) 798-9788
1079 E Park Dr
Harrisburg, PA 17111
Phone (223) 279-0290
2 E Laurel Ave
New Castle, PA 16101
Phone (724) 656-9127
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024166474 | VA | Yes |
Addresses
Primary practice location
3001 Co Rd 31
Cherry Valley, NY 13320
Mailing address
3001 Co Rd 31
Cherry Valley, NY 13320
Phone (607) 264-3337
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010212413 | Medicaid | VA |
Other names
- Martie Wilson
Other providers in Cherry Valley, NY
All providers in Cherry Valley, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.