NPIMap

Individual provider Active NPI

Angela Annette Wilson, MNA, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, NC
National Provider Identifier
1477739035
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3895 Issued in NC
Practice address
600 Hospital Dr
Monroe, NC 28112-6000
Phone
(980) 993-3100
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN 3476 SC
Certified Registered Nurse Anesthetist 367500000X 3895 NC Primary

Addresses

Primary practice location

600 Hospital Dr
Monroe, NC 28112-6000

Mailing address

377 Southfork Dr
Fleetwood, NC 28626-9288
Phone (336) 977-3340

Other identifiers 1

IdentifierTypeStateIssuer
AN1638MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080128000042 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153403340 Reassigns benefits to 2 organizations
I20100128000657 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153403340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-7101

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3895NCMDChiropractor
3476SCMDPhysician Assistant
APN 3476SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Jan 13, 2024 Accepting new patients
Carolina Digestive Health Associates, PA CurrentSince Feb 16, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Musc Community Physicians CurrentSince Feb 1, 2024 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Current Accepting new patients
Musc Community Physicians CurrentSince Feb 1, 2024 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Jun 28, 2023 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
American Anesthesiology of South Carolina, LLC Past Accepting new patients
Carolina Anesthesiology Associates PA Past Accepting new patients
Carolina Digestive Health Associates, PA PastSince Oct 29, 2023 Accepting new patients
Pain Management, LLC Past Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Carolina Anesthesiology Associates PA Past Accepting new patients

Locations

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1477739035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 SOUTHFORK DR",
            "city": "FLEETWOOD",
            "state": "NC",
            "postal_code": "286269288",
            "telephone_number": "336-977-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126000",
            "telephone_number": "980-993-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANGELA",
        "middle_name": "ANNETTE",
        "credential": "MNA,  CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN 3476",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "3895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1638",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.