Individual provider Active NPI

Kristin McGrath Wilson, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocala, FL
National Provider Identifier
1861657231
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9183423 Issued in FL
Practice address
1431 SW 1St Ave
Ocala, FL 34471
Phone
(352) 291-3000
Fax
(352) 265-6922
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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 ARNP9183423 FL Primary
Certified Registered Nurse Anesthetist 367500000X ANT9183423 FL

Addresses

Primary practice location

1431 SW 1St Ave
Ocala, FL 34471

Mailing address

1613 N. Harrison Parkway
Suite 200, Mailstop SH-9a
Sunrise, FL 33323-2896
Phone (954) 838-2371

Other identifiers 1

IdentifierTypeStateIssuer
000309500MedicaidFL

Other names 1

  • Kristin McGrath Shuman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611002779 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658435672 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ANT9183423FLMDCertified Registered Nurse Anesthetist
ARNP9183423FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dec Anesthesia LLC CurrentSince Nov 1, 2021 Accepting new patients
Grand Canyon Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Amsurg North Valley Anesthesia LLC CurrentSince May 20, 2019 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Past Accepting new patients
Summit Anesthesia Partners Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2680 S Val Vista Dr
Ste 127
Gilbert, AZ 85295
Phone (480) 253-5656

2223 E Baseline Rd
Ste B
Gilbert, AZ 85234
Phone (480) 289-5266

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

20940 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 253-5660

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

15255 N 40th St
Ste 157
Phoenix, AZ 85032
Phone (602) 482-1001

Organizations & group practices 9

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1861657231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N. HARRISON PARKWAY",
            "address_2": "SUITE 200, MAILSTOP SH-9A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-291-3000",
            "fax_number": "352-265-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTIN",
        "middle_name": "MCGRATH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9183423",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ANT9183423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000309500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SHUMAN",
            "middle_name": "MCGRATH",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.