Active NPI
Wesley Kyle Maughon, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 088530-23
- Practice address
- 1 Elliot Way
Manchester, NH 03103-3502 - Phone
- (110) 111-0117
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 319065 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 139725 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | 28769 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 088530-23 | NH | Primary |
Addresses
Primary practice location
1 Elliot Way
Manchester, NH 03103-3502
Mailing address
PO Box 23321
New York, NY 10087-3221
Other practice location 1
28 Schenck Pkwy
Asheville, NC 28803-5053
Phone (828) 654-6498
Other practice location 2
800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1214
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240620003763 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810379195 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musc Community Physicians
Practice addresses (Care Compare)
800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330
Hospital & facility affiliations
- Musc Health Lancaster Medical Center
- Musc Health Chester Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319065 | NC | MD | Critical Care Medicine Registered Nurse |
| 139725 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214
Organizations & group practices 10
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.
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Rural Health Clinic/Center
- Branchville, SC
- NPI 1043916448
-
- Rural Health Clinic/Center
- St Matthews, SC
- NPI 1063118461
-
- Rural Health Clinic/Center
- Orangeburg, SC
- NPI 1285330688
-
- Rural Health Clinic/Center
- Holly Hill, SC
- NPI 1508562901
-
- Rural Health Clinic/Center
- Orangeburg, SC
- NPI 1568169191
-
- Rural Health Clinic/Center
- Bamberg, SC
- NPI 1720784127
-
- Rural Health Clinic/Center
- Orangeburg, SC
- NPI 1932805330
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chester, SC
- NPI 1437622933
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1467022889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23321",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELLIOT WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033502",
"telephone_number": "110-111-0117"
}
],
"practiceLocations": [
{
"address_1": "28 Schenck Pkwy",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288035053",
"country_code": "US",
"telephone_number": "828-654-6498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 W Meeting St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "SC",
"postal_code": "297202202",
"country_code": "US",
"telephone_number": "803-286-1214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAUGHON",
"first_name": "WESLEY",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "DNP, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NC",
"license": "319065",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "139725",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "28769",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "088530-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "800 W Meeting St",
"city": "Lancaster",
"state": "SC",
"country_code": "US",
"postal_code": "297202202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.