Individual provider Active NPI

Christopher Dale Wilson, CRNA

  • Certified Registered Nurse Anesthetist
  • Corinth, MS
National Provider Identifier
1366604654
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R879347 Issued in MS
Practice address
611 Alcorn Dr
Corinth, MS 38834-9321
Phone
(662) 293-1440
Fax
(662) 293-4213
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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 R879347 MS Primary

Addresses

Primary practice location

611 Alcorn Dr
Corinth, MS 38834-9321

Mailing address

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, CA, KS, MO5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20081117000150 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476613746 Reassigns benefits to 2 organizations
I20190604001659 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476613746 Reassigns benefits to 1 organization
I20231006000627 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476613746 Reassigns benefits to 3 organizations
I20251016002546 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476613746 Reassigns benefits to 1 organization
I20260422000127 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476613746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 664-2744

Hospital & facility affiliations

  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
44.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R879347MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2026 Accepting new patients
Anchor Anesthesia, LLC CurrentSince Feb 1, 2021 Accepting new patients
Premier Anesthesia of Washington, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
East Memphis Anesthesia Services PLC CurrentSince Apr 1, 2019 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Nov 13, 2023 Accepting new patients
Excelle Anesthesia Services, Inc. CurrentSince Jan 12, 2025 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

Organizations & group practices 8

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 5

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1366604654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1440",
            "fax_number": "662-293-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1440",
            "fax_number": "662-293-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "DALE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R879347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.