WESLEY TYRUS STEWART CRNA
NPI 1003367574
Nurse Anesthetist, Certified Registered in Johnson City, TN

Q: What is Wesley Stewart's NPI number?

The NPI number for Wesley Stewart is 1003367574. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Q: What is Wesley Stewart's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Wesley Stewart was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 20, 2016Accepts Medicare Assignment

1009 NOVUS DR STE 2, JOHNSON CITY, TN 37604(423) 283-0776(423) 283-0549 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2021, Apr 22, 2019, Feb 13, 2017 and 1 more (4 updates tracked since 2016).

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About Wesley Tyrus Stewart Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESLEY TYRUS STEWART CRNA (NPI 1003367574) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (22217) and active in the NPI registry since October 2016. He is affiliated with Wellmont Holston Valley Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003367574

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameWESLEY TYRUS STEWARTCredential: CRNA

Location Address1009 NOVUS DR STE 2Johnson City, TN 37604-8237

Mailing Address1009 Novus Dr Ste 2Johnson City, TN 37604-8237 · (423) 283-0776 · Fax (423) 283-0549

Phone(423) 283-0776

Fax(423) 283-0549

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 20, 2016

Last NPPES UpdateJuly 27, 20214 updates tracked since enumeration

NPPES CertifiedJuly 27, 2021

✔ NPI 1003367574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 22217

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 164147 (TN)

1009 NOVUS DR STE 2, Johnson City, TN 37604

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Other Identifiers 1

MedicaidQ026759TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wesley Tyrus Stewart Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193000115

PECOS Enrollment IDI20170314000349

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWN D BRIGHT CRNA

Nurse Anesthetist, Certified Registered