Active NPI
Mindy Lynn Wilder, CRNA
- Certified Registered Nurse Anesthetist
- Bessemer, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-084720
- Practice address
- 995 9TH Ave SW
Bessemer, AL 35022-4527 - Phone
- (205) 481-7000
- NPI assigned
- Feb 11, 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 | 1-084720 | AL | Primary |
Addresses
Primary practice location
995 9TH Ave SW
Bessemer, AL 35022-4527
Mailing address
995 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 481-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-084720 | Other | AL | RN ABN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Alabama School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7191 Cahaba Valley Rd
Suite 202
Hoover, AL 35242-6443
Phone (205) 271-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.67 of 100
- Quality
- 80.18
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.94 of 100
- Quality
- 56.16
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 78.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-084720 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Gastroenterology Associates PC | Current | Accepting new patients | |
| Birmingham Gastroenterology Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953
1 Independence Plz
Homewood, AL 35209
Phone (205) 255-3828
7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421
7191 Cahaba Valley Rd
Ste 202
Hoover, AL 35242
Phone (205) 855-6185
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Birmingham, AL
- NPI 1366406514
-
- Certified Registered Nurse Anesthetist
- Birmingham, AL
- NPI 1861926131
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1659678506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 9TH AVE SW",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350224527",
"telephone_number": "205-481-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 9TH AVE SW",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350224527",
"telephone_number": "205-481-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "MINDY",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-11",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-084720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN ABN",
"identifier": "1-084720",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.