Individual provider Active NPI

Pamala Lea Wilson, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1619996030
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0082268 Issued in OK
Practice address
1200 Childrens Ave # 8F
Oklahoma City, OK 73104-4637
Phone
(405) 271-4750
NPI assigned
Jul 18, 2006
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R0082268 OK Primary

Addresses

Primary practice location

1200 Childrens Ave # 8F
Oklahoma City, OK 73104-4637

Mailing address

16200 Muirfield PL
Edmond, OK 73013-9790
Phone (918) 704-5556

Other practice location 1

107 NE F St
Antlers, OK 74523-2603
Phone (405) 301-5062

Other identifiers 1

IdentifierTypeStateIssuer
200053460AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000270 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850352584 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

11200 N Portland Ave
Oklahoma City, OK 73120-5045
Phone (888) 324-7432

3029 W Main St
Jenks, OK 74037-3465
Phone (918) 701-2300

8100 S Walker Ave
BLDG C
Oklahoma City, OK 73139-9404
Phone (405) 602-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0082268OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial Hospital, Inc Current Accepting new patients
Orthomed Staffing LLC CurrentSince Jul 25, 2025 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Anesthesia Specialists of Oklahoma LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2026 Accepting new patients
Integral Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Apr 1, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Freelance Anesthesia New Mexico, LLC Nurse Anesthetist, Certified Registered PastSince Jul 14, 2016 Accepting new patients
Hatton Anesthesia LLC Past Accepting new patients
BMC Anesthesia PC Past Accepting new patients

Locations

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

11200 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 936-1000

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

2408 E 81st St
Ste 600
Tulsa, OK 74137
Phone (918) 392-2780

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1619996030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 MUIRFIELD PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139790",
            "telephone_number": "918-704-5556",
            "fax_number": "405-709-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE # 8F",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637",
            "telephone_number": "405-271-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 NE F St",
            "address_purpose": "LOCATION",
            "city": "Antlers",
            "state": "OK",
            "postal_code": "745232603",
            "country_code": "US",
            "telephone_number": "405-301-5062",
            "fax_number": "405-709-2325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PAMALA",
        "middle_name": "LEA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0082268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200053460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.