Active NPI
Wilton O Deets III, CRNA
- Certified Registered Nurse Anesthetist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4252
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 343-7000
- NPI assigned
- Jan 10, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 193618 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 193618 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 4252 | NC | Primary |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
2430 Emerald PL Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140
Other practice location 1
2430 Emerald Pl Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140 ext. 102
Other practice location 2
1801 S 17th St
Wilmington, NC 28401-6443
Phone (910) 763-4555 ext. 109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383
1168 E Cutlar Xing
Suite 101
Leland, NC 28451-6485
Phone (910) 332-1550
1801 S 17TH St
Wilmington, NC 28401-6443
Phone (910) 763-4555
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
Hospital & facility affiliations
- Copper Queen Community Hospital
- Novant Health New Hanover Regional Medical Center
- Canyon Vista Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4252 | NC | MD | Speech-Language Pathologist |
| 193618 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health New Hanover Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeastern Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Pender Memorial Hospital Incorporated | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Bisbee Hospital Association | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients |
Locations
101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140
1168 E Cutlar Crossing
Ste 101
Leland, NC 28451
Phone (910) 332-1550
1333 S Dickinson Dr
Unit 120
Leland, NC 28451
Phone (910) 763-2361
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
2800 Ashton Dr
Ste 100
Wilmington, NC 28412
Phone (910) 794-8842
1801 S 17th St
Wilmington, NC 28401
Phone (910) 763-4555
1305 Glen Meade Rd
Wilmington, NC 28401
Phone (910) 815-6100
Organizations & group practices 11
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
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1053444901
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
-
- Rural Health Clinic/Center
- Hereford, AZ
- NPI 1245986975
-
- Point of Service
- Bisbee, AZ
- NPI 1508137209
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- General Acute Care Hospital
- Sierra Vista, AZ
- NPI 1194766543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1700936267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 EMERALD PL STE 201",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345743",
"telephone_number": "252-752-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-343-7000"
}
],
"practiceLocations": [
{
"address_1": "2430 Emerald Pl Ste 201",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278345743",
"country_code": "US",
"telephone_number": "252-752-2140 x102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016443",
"country_code": "US",
"telephone_number": "910-763-4555 x109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEETS",
"first_name": "WILTON",
"middle_name": "O",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "193618",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "193618",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "4252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.