Individual provider Active NPI

James Carson Wilcox II, CRNA

  • Certified Registered Nurse Anesthetist
  • Killeen, TX
National Provider Identifier
1710028345
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP116710 Issued in TX
Practice address
3800 S W S Young Dr Ste 201
Killeen, TX 76542-3340
Phone
(254) 245-9175
Fax
(254) 213-7771
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X PENDING NV
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AP116710 TX Primary

Addresses

Primary practice location

3800 S W S Young Dr Ste 201
Killeen, TX 76542-3340

Mailing address

4112 Gliding Gulls Ave
North Las Vegas, NV 89084-2685
Phone (702) 487-5987

Other practice location 1

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-3526

Other practice location 2

4114 Michaels Dr
Temple, TX 76502-3147
Phone (254) 913-9898

Other identifiers 1

IdentifierTypeStateIssuer
75876OtherTXNATIONAL BOARD OF CERTIFICATION & RECERTIFICATION FOR NURSE ANESTHETISTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090420000148 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658428255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Associates PLLCGroup PAC ID 6204973894, 33 clinicians

Practice addresses (Care Compare)

3800 S W S Young Dr
Suite 201
Killeen, TX 76542-3340
Phone (254) 245-9175

Merit-based Incentive Payment System (MIPS)

Final score
74.91 of 100Reported as group
Quality
70.09
Promoting interoperability
95
Improvement activities
40
Cost
50.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Associates PLLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Integrated Pain Associates PLLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients

Locations

3800 S W S Young Dr
Ste 201
Killeen, TX 76542
Phone (254) 213-0489

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1710028345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 GLIDING GULLS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842685",
            "telephone_number": "702-487-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S W S YOUNG DR STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423340",
            "telephone_number": "254-245-9175",
            "fax_number": "254-213-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Las Vegas Blvd N",
            "address_purpose": "LOCATION",
            "city": "Nellis AFB",
            "state": "NV",
            "postal_code": "891916600",
            "country_code": "US",
            "telephone_number": "702-653-3526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4114 Michaels Dr",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765023147",
            "country_code": "US",
            "telephone_number": "254-913-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "JAMES",
        "middle_name": "CARSON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP116710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFICATION & RECERTIFICATION FOR NURSE ANESTHETISTS",
            "identifier": "75876",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.