Blake Lynn Wilson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

89530 Issued in OK

Practice address

2001 Cradduck Rd
Ada, OK 74820-9400

Phone

(405) 514-4786

Fax

(405) 758-5582

NPI assigned

Sep 14, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Western Oklahoma Anesthesia Consultants PLLCGroup PAC ID 4587924865, 15 clinicians

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

SC Anesthesia LLCGroup PAC ID 7012382468, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
• Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
• Hillcrest Hospital Henryetta Hospital, Henryetta, OK, CCN 370183

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• SC Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Ada, OK
  • NPI 1962106013

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Western Oklahoma Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1881102614
  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment Care Compare group NPD
• Anesthesia Management Solutions of Oklahoma PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1003375650

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment NPD
• Boiling Springs Anesthesia LLC

  • Anesthesiology Physician
  • Longview, TX
  • NPI 1306140660

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Ahs Henryetta Hospital LLC

  dba Hillcrest Hospital Henryetta

  • General Acute Care Hospital
  • Henryetta, OK
  • NPI 1720053556
  Care Compare affiliation
• McAlester Regional Health Center Authority

  dba McAlester Regional Health Center

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  Care Compare affiliation
• Mercy Hospital Ada, Inc

  • Ambulance
  • Ada, OK
  • NPI 1831533728

  Hospital

  Care Compare affiliation
• Mercy Hospital Ada, Inc

  dba Mercy Hospital Ada

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306
  Care Compare affiliation

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1568712768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 S 14TH ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CRADDUCK RD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748209400",
            "telephone_number": "405-514-4786",
            "fax_number": "405-758-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6580 Judson Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756057076",
            "country_code": "US",
            "telephone_number": "800-939-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BLAKE",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "89530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200454040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Williamson
• Charlotte Ann Willis
• Joshua Willis
• Kristi Lea Wilmoth
• Alex Wilson, PA-C
• Claudette G. Wilson, APRN NP-C
• Connie Marie Wilson, D.O.
• Kimberly D Wilson, LPN
• Tosha Lucille Wilson
• Sethariah Ocea Windsor

• Certified Registered Nurse Anesthetist in Ada, OK
• Providers in Ada, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.