Individual provider Active NPI

Wilton O Deets III, CRNA

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
National Provider Identifier
1700936267
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4252 Issued in NC
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

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050516000971 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860433265 Reassigns benefits to 4 organizations
I20241029002939 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860433265 Reassigns benefits to 3 organizations

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
Bisbee Hospital AssociationGroup PAC ID 5092626168, 69 clinicians
American Anesthesiology of North Carolina PLLCGroup PAC ID 2961316450, 315 clinicians
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians
Novant Health New Hanover Regional Medical Center LLCGroup PAC ID 7113330168, 204 clinicians
Northeastern Anesthesia PLLCGroup PAC ID 4284813940, 83 clinicians

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 Hospital, Bisbee, AZ, CCN 031312
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4252NCMDSpeech-Language Pathologist
193618NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Northeastern Anesthesia PLLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Pender Memorial Hospital Incorporated Current Accepting new patients
Pender Memorial Hospital, Incorporated CurrentSince Jan 1, 2018 Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Jan 1, 2022 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Bisbee Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Feb 1, 2021 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.