1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

SOPHIA ROCHELLE WILSON DNP, CRNA
NPI 1003681941
Nurse Anesthetist, Certified Registered in Los Angeles, CA

Active since November 21, 2023Accepts Medicare Assignment
4867 W SUNSET BLVD, LOS ANGELES, CA 90027(276) 734-1219 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Nov 13, 2025, Nov 21, 2023 (3 updates tracked since 2023).

About Sophia Rochelle Wilson Dnp, Crna NPPES

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

SOPHIA ROCHELLE WILSON DNP, CRNA (NPI 1003681941) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (95002549) and active in the NPI registry since November 2023. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1003681941
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSOPHIA ROCHELLE WILSONCredential: DNP, CRNA
Location Address4867 W SUNSET BLVDLos Angeles, CA 90027-5969
Mailing Address4867 W Sunset BlvdLos Angeles, CA 90027-5969
Phone(276) 734-1219
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 21, 2023
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1003681941 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 CA · 95002549
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4867 W SUNSET BLVD, Los Angeles, CA 90027
Open in Google Maps ↗

Other Names 1

Former Name (1)Sophia Rochelle Gravley

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophia Rochelle Wilson Dnp, 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 ID9830618800
PECOS Enrollment IDI20250522001078

Medicare Billing Reassignments

3

Medicare enrollment records show Sophia Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
0.2 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011
Amsurg Arcadia Anesthesia LP
16 mi
Anesthesiology
488 EAST SANTA CLARA STREET, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 72 clinicians in this Medicare group
NPI 1114291226 (626) 359-9555
Amsurg South Bay Anesthesia LP
20 mi
Anesthesiology
23560 MADISON ST STE 109
Torrance, CA 90505
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1811230022 (310) 325-6331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

CHRISELDA MANALO
Nurse Practitioner (Gerontology)
4867 W SUNSET BLVD, 6TH FLOOR - INTENSIVE CARE UNIT
LOS ANGELES, CA 90027
Los Angeles County (323) 783-9644
HEDDY TRAC
Respiratory Therapist, Certified
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-8320
DAVID HWANG DO
Internal Medicine (Nephrology)
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
MRS. ALEXANDRA FELDMAN
Pharmacist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-8308
ALLISON BRIEL GROSSMAN SLP
Speech-Language Pathologist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
MISS SERENA LI
Pharmacist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1546
MICHAEL INDUCIL RCP
Respiratory Therapist, Registered
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-8320
NATALIE WRAY CNS
Clinical Nurse Specialist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Wilson's NPI number?

The NPI number for Sophia Wilson is 1003681941. It was assigned to this individual provider in the NPPES registry on November 21, 2023. The provider is also known as Sophia Rochelle Gravley.

Where is Sophia Wilson located?

Sophia Wilson practices at 4867 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (276) 734-1219.

What is Sophia Wilson's specialty?

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

Is Sophia Wilson enrolled in Medicare?

Yes. Sophia Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sophia Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Wilson reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Los Angeles, CA), Amsurg Arcadia Anesthesia LP (Arcadia, CA) and Amsurg South Bay Anesthesia LP (Torrance, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Wilson was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.