Allyn D. Wilcock, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP30006926 Issued in WA

Practice address

7829 Center Blve Ste 310
Snoqualmie, WA 98065

Phone

(206) 330-6722

Fax

(425) 256-3250

NPI assigned

Apr 6, 2006

Last updated

Feb 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Anesthesia Services PLLCGroup PAC ID 6608159017, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Advanced Anesthesia Services, PLLC

  • Certified Registered Nurse Anesthetist
  • Bellevue, WA
  • NPI 1700211786

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness

  dba Northwest Healing and Wellness

  • Certified Registered Nurse Anesthetist
  • Bellevue, WA
  • NPI 1174171458

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Northwest Ketamine Clinics Tacoma, PLLC

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1215528732
  Authorized official Same address or phone
• Eastside Medical Group, LLC

  • Ambulatory Surgical Clinic/Center
  • Issaquah, WA
  • NPI 1750709358
  NPD (past)
• Narrows Anesthesia Services PLLC

  • Anesthesiology Physician
  • Tacoma, WA
  • NPI 1801026315

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  NPD (past)
• Public Hospital District No 4, King County Wa

  dba Public Hospital District No 4 Clinic

  • Family Medicine Physician
  • Snoqualmie, WA
  • NPI 1144432634
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1801858535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36410 SE ISLEY ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658983",
            "telephone_number": "206-330-6722",
            "fax_number": "425-256-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 CENTER BLVE STE 310",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98065",
            "telephone_number": "206-330-6722",
            "fax_number": "425-256-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOCK",
        "first_name": "ALLYN",
        "middle_name": "D.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30006926",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00157281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "0197111",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9644782",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "52822U",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I CRIME VICTIMS",
            "identifier": "8940597",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Ann Warren, LMHC, MHP
• Demi Watts, RN
• James Raymond Watts, SUDP
• Denise Aileen Weinstein, CERTIFIED PPDOULA
• Nicole Wichgers, OTR/L
• Chelsea Wilkes
• Kenneth H Winslow, ARNP
• Ashley Ann Wintermyer
• Kimberly Witkop, M.D.
• Janelle Woffinden

• Certified Registered Nurse Anesthetist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.