Individual provider Active NPI

Renee Falcon Wilson, CRNA

  • Certified Registered Nurse Anesthetist
  • Greensburg, PA
National Provider Identifier
1942273339
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN242613L Issued in PA
Practice address
516 Pellis Rd
Greensburg, PA 15601-4592
Phone
(724) 836-1177
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 RN242613L PA Primary

Addresses

Primary practice location

516 Pellis Rd
Greensburg, PA 15601-4592

Mailing address

1040 Towne Square Dr
Greensburg, PA 15601-5787
Phone (724) 836-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN242613LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
20-20 Surgery Center LLC Current Accepting new patients
Nurse Anesthetist Services Nurse Anesthetist, Certified Registered Current Accepting new patients
Laurel Anesthesia Associates, PC Past Accepting new patients

Locations

516 Pellis Rd
#2020
Greensburg, PA 15601
Phone (724) 366-6566

1040 Towne Square Dr
Greensburg, PA 15601
Phone (412) 836-0190

516 Pellis Rd
Greensburg, PA 15601
Phone (724) 836-0190

600 Jefferson Ave
Jeannette, PA 15644
Phone (724) 527-3551

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1942273339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 TOWNE SQUARE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015787",
            "telephone_number": "724-836-0190",
            "fax_number": "724-837-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014592",
            "telephone_number": "724-836-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RENEE",
        "middle_name": "FALCON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN242613L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.