Active NPI
Kristin Marie Wilson, CRNA
- Certified Registered Nurse Anesthetist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1059321
- Practice address
- 400 Taylor Rd
Montgomery, AL 36117 - Phone
- (334) 277-8330
- NPI assigned
- May 16, 2006
- 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 | 1059321 | AL | Primary |
Addresses
Primary practice location
400 Taylor Rd
Montgomery, AL 36117
Mailing address
PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2051
Other names 1
- Ms. Kristin Marie Jellison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059321 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Newton Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ambulatory Anesthesia Associates of Montgomery, PC | Past | Accepting new patients |
Locations
1022 1st St N
Ste 500
Alabaster, AL 35007
Phone (205) 663-5775
632 2nd St NE
Alabaster, AL 35007
Phone (205) 621-0122
2055 E South Blvd
Ste 908
Montgomery, AL 36116
Phone (334) 284-6500
7085 Sydney Curv
Montgomery, AL 36117
Phone (334) 246-4774
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
8326 Crossland Loop
Montgomery, AL 36117
Phone (334) 549-3778
2104 Chestnut St
Montgomery, AL 36106
Phone (334) 613-0807
Interoperability endpoints
- kristin.wilson@direct.baptistfirst.org
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Montgomery, AL
- NPI 1760910152
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1639130537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376595769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235022",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235022",
"telephone_number": "334-386-2051",
"fax_number": "334-396-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36117",
"telephone_number": "334-277-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1059321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "JELLISON",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.