Individual provider Active NPI

Wilson Deshon Christian IV, CRNA

  • Certified Registered Nurse Anesthetist
  • Jefferson City, MO
National Provider Identifier
1932528296
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2018040400 Issued in MO
Practice address
1125 Madison St
Jefferson City, MO 65101-5227
Phone
(573) 632-5000
Fax
(573) 632-5876
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3008612 KY
Certified Registered Nurse Anesthetist 367500000X 006320 NC
Certified Registered Nurse Anesthetist 367500000X AP137488 TX
Certified Registered Nurse Anesthetist 367500000X 0024179286 VA
Certified Registered Nurse Anesthetist 367500000X 2018040400 MO Primary
Certified Registered Nurse Anesthetist 367500000X 7809 MA
Certified Registered Nurse Anesthetist 367500000X 0000024792 TN

Addresses

Primary practice location

1125 Madison St
Jefferson City, MO 65101-5227

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

301 Northcreek Blvd
Goodlettsville, TN 37072-1920
Phone (615) 851-9346

Other practice location 2

300 University Blvd
Round Rock, TX 78665-1032
Phone (512) 509-0100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wchristian1416281@direct.sw.org
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX, NY, MO, OH, NC, VA, MA, TN9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20140425000792 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157 Reassigns benefits to 1 organization
I20180829001735 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157 Reassigns benefits to 3 organizations
I20181119003187 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157 Reassigns benefits to 3 organizations
I20181221001226 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157 Reassigns benefits to 1 organization
I20190606000626 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157 Reassigns benefits to 4 organizations
I20200813002449 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157 Reassigns benefits to 1 organization
I20200910000885 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157
I20210507000520 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157 Reassigns benefits to 2 organizations
I20210913000895 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022241157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians

Practice addresses (Care Compare)

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008612KYMDCertified Registered Nurse Anesthetist
7809MAMDCertified Registered Nurse Anesthetist
2018040400MOMDCertified Registered Nurse Anesthetist
0000024792TNMDCertified Registered Nurse Anesthetist
AP137488TXMDCertified Registered Nurse Anesthetist
0024179286VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Somc Medical Care Foundation, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 13, 2019 Accepting new patients
Scott & White Clinic Current Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Mar 18, 2020 Accepting new patients
Curators of the University of Missouri CurrentSince Aug 5, 2025 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2022 Accepting new patients
New Albany Orthopedic Anesthesia LLC CurrentSince Mar 1, 2020 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2022 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Dec 1, 2021 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince May 13, 2019 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2018 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince May 9, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Dec 22, 2022 Accepting new patients
The Curators of the University of Missouri CurrentSince Aug 5, 2025 Accepting new patients
Lahey Clinic, Inc Current Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Feb 26, 2019 Accepting new patients
Christus Good Shepherd Medical Center CurrentSince Nov 21, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince May 9, 2022 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc CurrentSince Dec 3, 2018 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 6, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Sep 25, 2018 Accepting new patients
Scott & White Clinic CurrentSince Apr 23, 2025 Accepting new patients
Lahey Clinic, Inc. CurrentSince May 5, 2021 Accepting new patients
Christus Good Shepherd Medical Center Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2019 Accepting new patients
Scott & White Clinic CurrentSince Apr 23, 2025 Accepting new patients
Parkside Medical Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Apr 19, 2021 Accepting new patients
Nashville Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients

Locations (25 of 40)

12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

3871 Harlem Rd
Ste 202
Buffalo, NY 14215

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

300 Community Dr
Plandome, NY 11030

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

3925 Embassy Pkwy
Ste 3975
Akron, OH 44333

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

7277 Smiths Mill Rd
Ste 300
New Albany, OH 43054
Phone (614) 285-7844

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 3

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1932528296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MADISON ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015227",
            "telephone_number": "573-632-5000",
            "fax_number": "573-632-5876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Northcreek Blvd",
            "address_purpose": "LOCATION",
            "city": "Goodlettsville",
            "state": "TN",
            "postal_code": "370721920",
            "country_code": "US",
            "telephone_number": "615-851-9346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651032",
            "country_code": "US",
            "telephone_number": "512-509-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "WILSON",
        "middle_name": "DESHON",
        "name_suffix": "IV",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3008612",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "006320",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP137488",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024179286",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2018040400",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "7809",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "0000024792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wchristian1416281@direct.sw.org",
            "affiliation": "N",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "1125 Madison St",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651015227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.