Jeffery C Wilt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

300934 Issued in AZ

Practice address

6501 N 19TH Ave
Phoenix, AZ 85015-1646

Phone

(602) 795-6020

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, AZ2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascend Anesthesia LLCGroup PAC ID 5294246526, 76 clinicians

Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Core Institute Specialty Hosp Hospital, Phoenix, AZ, CCN 030108
• Arizona Spine and Joint Hospital Hospital, Mesa, AZ, CCN 030107
• Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

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.

• Ascend Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1407642945

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Guide Anesthesia Az LLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1649164849

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Partners & Management LLC

  • Certified Registered Nurse Anesthetist
  • Brighton, MI
  • NPI 1336530997

  AZ, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, SC

  Medicare reassignment NPD
• Columbia-St Josephs Heathcare System Limited Partnership

  • Specialist
  • Parkersburg, WV
  • NPI 1104000256
  NPD (past)
• SJH Services Aa Inc

  • Anesthesiology Physician
  • Parkersburg, WV
  • NPI 1396072732
  NPD (past)
• Southern Cardiac Imaging, LLC

  • Nuclear Cardiology Physician
  • Columbia, SC
  • NPI 1598736324
  NPD (past)
• Strand Anesthesia, PC

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
  • NPI 1851482368

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1043848294

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1124656376

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1164050316

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1275161523

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • San Tan Valley, AZ
  • NPI 1407313109

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Tempe, AZ
  • NPI 1528525227

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1538797782

  Hospital

  Care Compare affiliation
• Agh Mesa LLC

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1689121188
  Care Compare affiliation
• Agh Mesa LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1932737277

  Hospital

  Care Compare affiliation
• Arizona Spine and Joint Hospital LLC

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1396745832
  Care Compare affiliation
• Surgical Specialty Hospital of Arizona, LLC

  • Special Hospital
  • Phoenix, AZ
  • NPI 1902881295
  Care Compare affiliation

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1366493488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1792",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292021792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151646",
            "telephone_number": "602-795-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 82nd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724607",
            "country_code": "US",
            "telephone_number": "843-692-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILT",
        "first_name": "JEFFERY",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R76080",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "300934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1307",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Wilson, D.O.
• Zachary Terrence Wilson, MD
• Zaria Renee Wilson
• Kenneth E Wilstead, D.M.D.
• Cindy Wilt, LPN
• Robin Wilt, OTR/L
• Christian Wiltbank
• Thomas B Wiltbank, M.D.
• Angela Wiltse, OTR/L
• Cynthia Marie Wiltz, IHSS

• Certified Registered Nurse Anesthetist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.