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WILSON ANESTHESIA LUBBOCK PA
NPI 1144910498
Nurse Anesthetist, Certified Registered in Lubbock, TX

Active since May 10, 2023
4315 28TH ST, LUBBOCK, TX 79410(806) 792-2104(806) 792-2134 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilson Anesthesia Lubbock Pa NPPES

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

WILSON ANESTHESIA LUBBOCK PA (NPI 1144910498) is a healthcare organization registered as a nurse anesthetist, certified registered in Lubbock, Texas and active in the NPI registry since May 2023. The organization lists Justin E. Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1144910498
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameWILSON ANESTHESIA LUBBOCK PA
Location Address4315 28TH STLubbock, TX 79410-2507
Mailing Address4315 28th StLubbock, TX 79410-2507 · (806) 792-2104 · Fax (806) 792-2134
Phone(806) 792-2104
Fax(806) 792-2134
Organization SubpartNo
Authorized OfficialJustin E. AndersonPresident · (806) 792-2104
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1144910498 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
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.
4315 28TH ST, Lubbock, TX 79410
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilson Anesthesia Lubbock Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wilson Anesthesia Lubbock PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Isagani Saculo, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972548428
4315 28TH ST SUITE 2 SUITE 1C282
Lubbock, TX 79410
(806) 792-2104
✔ Accepts MedicareSame address
Skyler Meloy, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073020368
602 INDIANA AVE
Lubbock, TX 79415
(806) 535-2058
✔ Accepts Medicare1.5 mi
Natalie Sell, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639617160
3601 4TH ST
Lubbock, TX 79430
(806) 743-2669
✔ Accepts Medicare1.6 mi
Emma Veld, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619355989
7509 MARSHA SHARP FWY
Lubbock, TX 79407
(806) 744-7223
✔ Accepts Medicare5.6 mi

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

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 Wilson Anesthesia Lubbock PA's NPI number?

The NPI number for Wilson Anesthesia Lubbock PA is 1144910498. It was assigned to this organization in the NPPES registry on May 10, 2023.

Where is Wilson Anesthesia Lubbock PA located?

Wilson Anesthesia Lubbock PA is located at 4315 28th St, Lubbock, TX 79410. The listed phone number is (806) 792-2104.

What is Wilson Anesthesia Lubbock PA's specialty?

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

Is Wilson Anesthesia Lubbock PA enrolled in Medicare?

Yes. Wilson Anesthesia Lubbock PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilson Anesthesia Lubbock PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Wilson Anesthesia Lubbock PA. A 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 the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wilson Anesthesia Lubbock PA was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.