Individual provider Active NPI

Patricia Wilson, CRNA

  • Certified Registered Nurse Anesthetist
  • Oakland, CA
National Provider Identifier
1699832998
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2531 Issued in CA
Practice address
3600 Broadway
Oakland, CA 94611-5730
Phone
(510) 752-6238
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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 2531 CA Primary

Addresses

Primary practice location

3600 Broadway
Oakland, CA 94611-5730

Mailing address

280 W Macarthur Blvd
Oakland, CA 94611-5642
Phone (510) 752-6238

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001102 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355323809 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians
Mai Nursing Anesthesia PCGroup PAC ID 2567858764, 35 clinicians

Practice addresses (Care Compare)

2089 Vale Rd
Suite 33
San Pablo, CA 94806-3850
Phone (510) 234-5012

429 Llywelyn Blvd
Campbell, CA 95008-1948
Phone (408) 364-1616

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2531CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M. Atchison Crna Inc, a Professional Nursing Corp. Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2019 Accepting new patients
Mai Nursing Anesthesia PC CurrentSince Jan 18, 2022 Accepting new patients
Permanente Medical Group, Inc CurrentSince Mar 29, 2017 Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
Executive Gi Services Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Lifelinc Anesthesia VI PC Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Mar 29, 2017 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Dignity Community Care Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients

Locations (25 of 28)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1860 El Camino Real
Ste 101
Burlingame, CA 94010
Phone (650) 552-0700

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

1320 El Capitan Dr
Ste 110
Danville, CA 94526
Phone (925) 232-0090

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

280 W MacArthur Blvd
Oakland, CA 94611
Phone (510) 596-1000

3600 Broadway
Oakland, CA 94611
Phone (510) 752-6238

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375

1700 San Pablo Ave
Ste D
Pinole, CA 94564
Phone (510) 724-9500

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2089 Vale Rd
Ste 33
San Pablo, CA 94806
Phone (510) 234-5012

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

3003 Paul Sweet Rd
Santa Cruz, CA 95065
Phone (831) 462-1607

3540 Mendocino Ave
Ste 200
Santa Rosa, CA 95403
Phone (707) 522-6200

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

2160 W Grant Line Rd
Ste 120
Tracy, CA 95377
Phone (209) 832-2095

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1699832998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115642",
            "telephone_number": "510-752-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115730",
            "telephone_number": "510-752-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PATRICIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "275 W MacArthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.