Active NPI
Jennifer Marie Wilson, CRNA
- Certified Registered Nurse Anesthetist
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 088367
- Practice address
- 401 Ferndale Blvd
High Point, NC 27262-4739 - Phone
- (336) 882-2567
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 088367 | NC | Primary |
Addresses
Primary practice location
401 Ferndale Blvd
High Point, NC 27262-4739
Mailing address
PO Box 2168
High Point, NC 27261-2168
Phone (336) 882-2567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8054107 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088367 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Piedmont Triad Anesthesia, PA | Anesthesiology | Current | Accepting new patients |
| Regional Anesthesia, PLLC | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Carolina Anesthesiology, PA | Anesthesiology | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Current | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
401 Ferndale Blvd
High Point, NC 27262
Phone (336) 882-2567
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
145 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-1770
Organizations & group practices 12
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.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
- Anesthesiology Physician
- High Point, NC
- NPI 1629032347
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1457436982
-
- Specialist
- Durham, NC
- NPI 1952486946
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Gastroenterology Physician
- Greensboro, NC
- NPI 1073698502
-
- Physical Therapist
- Greensboro, NC
- NPI 1790491751
-
- Anesthesiology Physician
- Winston-Salem, NC
- NPI 1467497081
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1639453285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272612168",
"telephone_number": "336-882-2567",
"fax_number": "336-882-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 FERNDALE BLVD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624739",
"telephone_number": "336-882-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "088367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8054107",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
- Amanda Williamson
- Daniel B Willingham, CRNA
- Taylor Wren Willis, MS, CCC-SLP
- Amelia Claire Wilson, D.D.S.
- Hannia Roxanne Theodosia Wilson, PMHNP
- Kathryn Durham Wilson, MA, CCC-SLP
- Katurah Lashun Wilson, RN
- Lauren Allen Wilson
- Melissa Wilson, LPN, OTC, CPED, BOCO
- Monica Brittain Wilson, PHARMD, BCACP, CPP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.