Individual provider Active NPI

Nathan Paul Wilkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Oak Bluffs, MA
National Provider Identifier
1548394802
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN281992 Issued in MA
Practice address
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone
(508) 693-0410
Fax
(508) 684-4502
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 209-005633 IL
Certified Registered Nurse Anesthetist 367500000X RN281992 MA Primary

Addresses

Primary practice location

1 Hospital Rd
Oak Bluffs, MA 02557-1406

Mailing address

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone (508) 693-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000382 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365487329 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-005633ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Oct 10, 2025 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Aug 14, 2021 Accepting new patients
Martha'S Vineyard Hospital, Inc. Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 10, 2025 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Mar 19, 2024 Accepting new patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Mar 19, 2024 Accepting new patients
Anesthesia Consultants of Massachusetts LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Aug 14, 2021 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

50 Staniford St
Lbby
Boston, MA 02114
Phone (617) 723-2015

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

175 Worcester St
Wellesley Hls, MA 02481
Phone (617) 272-0004

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

Organizations & group practices 11

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 2

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1548394802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-693-0410",
            "fax_number": "508-684-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-693-0410",
            "fax_number": "508-684-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-005633",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN281992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.