WILLIAM WIETIES CRNA
NPI 1104958412
Nurse Anesthetist, Certified Registered in Lumberton, NC

Q: What is William Wieties's NPI number?

The NPI number for William Wieties is 1104958412. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is William Wieties'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 William Wieties was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 12, 2007Accepts Medicare Assignment

300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000(910) 738-3764 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About William Wieties Crna NPPES

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

WILLIAM WIETIES CRNA (NPI 1104958412) is an individual nurse anesthetist, certified registered in Lumberton, North Carolina, licensed in Missouri (102562) and active in the NPI registry since March 2007. He is a graduate of Other (1978).

NPPES Registry Identity

NPI1104958412

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameWILLIAM WIETIESCredential: CRNA

Location Address300 W 27TH STLumberton, NC 28358-3075

Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 671-5290 · Fax (910) 738-3764

Phone(910) 671-5000

Fax(910) 738-3764

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateMarch 12, 2007

Last NPPES UpdateApril 10, 2025

NPPES CertifiedApril 10, 2025

✔ NPI 1104958412 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

License✔ Licensed in MO · 102562

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.

300 W 27TH ST, Lumberton, NC 28358

Open in Google Maps ↗

Other Identifiers 2

Medicaid913284816MO

Medicaid1104958412NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

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

William Wieties 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 ID7719039767

PECOS Enrollment IDI20170714000760

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

377 services347 patients

Anesthesia for retinal surgery 00145

Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).

37 services34 patients

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300

Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.

28 services28 patients

Anesthesia for other procedure on urinary system through urethra 00910

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

26 services26 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

SOUTHEASTERN REGIONAL MEDICAL CENTER

Anesthesiology (Pain Medicine)