Active NPI
Wayne Francis Wilbur, CRNA
- Certified Registered Nurse Anesthetist
- Nantucket, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 199070
- Practice address
- 57 Prospect St
Nantucket, MA 02554-2799 - Phone
- (774) 563-1876
- Fax
- (401) 826-0410
- NPI assigned
- Nov 3, 2006
- Last updated
- Feb 28, 2010
- Sex
- Male
- 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 | 199070 | MA | Primary |
Addresses
Primary practice location
57 Prospect St
Nantucket, MA 02554-2799
Mailing address
57 Prospect St
Nantucket, MA 02554-2799
Phone (774) 563-1876
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00214045 | Other | RAILRAOD | |
| NA1102 | Other | MA | BCBS |
| 1649359548 | Other | FALLON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199070 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Partners of New England, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Icon Anesthesia Services of New England LLC | Current | Accepting new patients | |
| Anesthesia Professionals, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Matrix Anesthesia, PC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Northern Rhode Island Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthetics of Massachusetts, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
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
748 Mount Pleasant St
Unit 50036
New Bedford, MA 02745
500 Faunce Corner Rd
Ste 180
North Dartmouth, MA 02747
Phone (508) 717-0270
51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400
146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
400 10th St E
Waconia, MN 55387
100 Highland Ave
Ste 100
Providence, RI 02906
Phone (401) 277-9729
62 Amaral St
Riverside, RI 02915
Phone (401) 649-4030
444 Quaker Ln
Warwick, RI 02886
Phone (401) 935-1439
444 Quaker Ln
Unit 2
Warwick, RI 02886
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Brockton, MA
- NPI 1700028032
-
- Certified Registered Nurse Anesthetist
- Dartmouth, MA
- NPI 1659346443
Nurse Anesthetist, Certified Registered, RI
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
RI
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ri, RI
- NPI 1326672312
Nurse Anesthetist, Certified Registered
-
- Critical Care Medicine (Anesthesiology) Physician
- Nantucket, MA
- NPI 1730468885
-
- Specialist
- Nantucket, MA
- NPI 1255653051
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Certified Registered Nurse Anesthetist
- Melrose, MA
- NPI 1386695534
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Woonsocket, RI
- NPI 1124048905
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267315200000",
"number": "1649359548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PROSPECT ST",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542799",
"telephone_number": "774-563-1876",
"fax_number": "401-826-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PROSPECT ST",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542799",
"telephone_number": "774-563-1876",
"fax_number": "401-826-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBUR",
"first_name": "WAYNE",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2010-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "199070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD",
"identifier": "P00214045",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NA1102",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1649359548",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2010; 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.