Individual provider Active NPI

Heidi Danielle Wilkerson, CRNA

  • Certified Registered Nurse Anesthetist
  • Little River, SC
National Provider Identifier
1801211743
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
18816 Issued in SC
Practice address
3980 Highway 9 E
Little River, SC 29566-8163
Phone
(843) 390-5217
NPI assigned
Mar 1, 2014
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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 18816 SC Primary

Addresses

Primary practice location

3980 Highway 9 E
Little River, SC 29566-8163

Mailing address

2121 Winter Walk Cir
Morrisville, NC 27560-7084
Phone (843) 687-6053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180604000418 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547487555 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Duke University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008NCMDDentist
18816SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2019 Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Raleigh Medical Group, PA CurrentSince Dec 1, 2018 Accepting new patients
East Carolina Health - Heritage Inc Anesthesiology CurrentSince Nov 5, 2019 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince May 13, 2024 Accepting new patients
Nash Hospitals Inc CurrentSince Mar 11, 2019 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Feb 5, 2021 Accepting new patients
Scotland Memorial Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 28, 2020 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 28, 2020 Accepting new patients
Raleigh Sedation Associates LLC Anesthesiology CurrentSince Feb 22, 2019 Accepting new patients
Cumberland County Hospital System Inc Anesthesiology CurrentSince Jan 26, 2022 Accepting new patients
East Carolina Health - Heritage Inc CurrentSince Nov 5, 2019 Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2021 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Regional Anesthesia, PLLC CurrentSince May 21, 2018 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 26, 2022 Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 2

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": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1801211743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WINTER WALK CIR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607084",
            "telephone_number": "843-687-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668163",
            "telephone_number": "843-390-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "HEIDI",
        "middle_name": "DANIELLE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "18816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.