DONOVAN DEAN WILSON
NPI 1093743726
Nurse Anesthetist, Certified Registered in Bristol, TN

Active since June 29, 2006Accepts Medicare Assignment
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Donovan Dean Wilson NPPES

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

DONOVAN DEAN WILSON (NPI 1093743726) is an individual nurse anesthetist, certified registered in Bristol, Tennessee, licensed in Texas (112090) and active in the NPI registry since June 2006. He is affiliated with Wellmont Bristol Regional Medical Center and is a graduate of Other (1984).

NPPES Registry Identity

NPI1093743726
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDONOVAN DEAN WILSON
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address350 Blountville Hwy, Ste 207Bristol, TN 37620-0213 · (423) 968-4540
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 29, 2006
Last NPPES UpdateMay 20, 2019
NPI 1093743726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in TX · 112090 Licensed in TN · 37086
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.

1 MEDICAL PARK BLVD, Bristol, TN 37620

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

Donovan Dean Wilson 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 ID4486751856
PECOS Enrollment IDI20070518000349

Hospital Affiliations CMS Care Compare

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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.

Pharmacy (Community/Retail Pharmacy)
1 MEDICAL PARK BLVD, SUITE 106-E
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Dentist (Oral and Maxillofacial Surgery)
1 MEDICAL PARK BLVD, SUITE 440 EAST
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pharmacy Technician
1 MEDICAL PARK BLVD, SUITE 106-E
BRISTOL, TN 37620

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 Donovan Wilson's NPI number?

The NPI number for Donovan Wilson is 1093743726. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Donovan Wilson located?

Donovan Wilson practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Donovan Wilson's specialty?

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

Is Donovan Wilson enrolled in Medicare?

Yes. Donovan 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.

Is Donovan Wilson affiliated with any hospitals?

According to CMS data, Donovan Wilson is affiliated with Wellmont Bristol Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Donovan Wilson was last updated on May 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.