JIMMY-JOHN CLIFFORD WILSON CRNA
NPI 1194875112
Nurse Anesthetist, Certified Registered in Greenville, NC

Q: What is Jimmy-john Wilson's NPI number?

The NPI number for Jimmy-john Wilson is 1194875112. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Jimmy-john Wilson'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 Jimmy-john Wilson was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 11, 2007Accepts Medicare Assignment

64.46/100

CMS Quality Rating

2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834(252) 752-2140(252) 689-6502 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2020, Dec 4, 2018 (2 updates tracked since 2018).

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About Jimmy-john Clifford Wilson Crna NPPES

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

JIMMY-JOHN CLIFFORD WILSON CRNA (NPI 1194875112) is an individual nurse anesthetist, certified registered in Greenville, North Carolina, licensed in North Carolina (075318) and active in the NPI registry since January 2007. He is affiliated with Ecu Health Medical Center and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194875112

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJIMMY-JOHN CLIFFORD WILSONCredential: CRNA

Location Address2080 W ARLINGTON BLVD STE BGreenville, NC 27834

Mailing Address2080 W Arlington Blvd Ste BGreenville, NC 27834-3770 · (252) 752-2140 · Fax (252) 689-6502

Phone(252) 752-2140

Fax(252) 689-6502

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJuly 24, 20202 updates tracked since enumeration

NPPES CertifiedJuly 24, 2020

✔ NPI 1194875112 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 NC · 075318

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 162260 (NC)

2080 W ARLINGTON BLVD STE B, Greenville, NC 27834

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Other Identifiers 2

OtherP00408503NC · Railroad Medicare

Medicaid8052804NC

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

Jimmy-john Clifford Wilson 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 ID1052416344

PECOS Enrollment IDI20070416000151

Areas of Expertise CMS Part B claims 2

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.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

55 services54 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

64.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

52.37

Improvement Activities

Cost

68.87

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.

AMY MICHELLE DAVIS CRNA

Nurse Anesthetist, Certified Registered