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MR. CARLAN A WILSON JR. CRNA
NPI 1326199092
Nurse Anesthetist, Certified Registered in Grangeville, ID

Active since January 16, 2007
607 W MAIN ST, GRANGEVILLE, ID 83530(208) 983-1700 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Carlan A Wilson Jr. Crna NPPES

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

MR. CARLAN A WILSON JR. CRNA (NPI 1326199092) is an individual nurse anesthetist, certified registered in Grangeville, Idaho, licensed in Tennessee (050274) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1326199092
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. CARLAN A WILSON JR.Credential: CRNA
Location Address607 W MAIN STGrangeville, ID 83530-1345
Mailing Address1001 E Broadway St Stop 2, Pmb 629Missoula, MT 59802-4914 · (239) 285-5858
Phone(208) 983-1700
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 4, 2011
✔ NPI 1326199092 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 TN · 050274
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.
607 W MAIN ST, Grangeville, ID 83530
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Other Identifiers 4

Medicaid807009800ID
Medicare OSCAR/certification13Z315ID
OtherHBLS1ID · Blue Cross
Medicare OSCAR/certification131315ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlan A Wilson Jr. Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Carlan Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Syringa General Hospital District C I F
0.7 mi
Critical Access
607 W MAIN ST
Grangeville, ID 83530
  • Reassigned Medicare billing, Idaho enrollment
  • 28 clinicians in this Medicare group
NPI 1750336608 (208) 983-1700

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

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.

DR. DANIEL C GRIFFIS MD
Family Medicine
607 W MAIN ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-8590
SYRINGA GENERAL HOSPITAL DISTRICT C I F
Clinic/Center (Primary Care)
607 W MAIN ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-1700
SYRINGA GENERAL HOSPITAL DISTRICT HOME HEALTH
Home Health
607 W MAIN ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-1700
KELBY JON WILSON MD
Family Medicine
607 W MAIN ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-1700
CARDINAL HEALTH 132, LLC
Pharmacy (Community/Retail Pharmacy)
607 W MAIN ST, SUITE 100
GRANGEVILLE, ID 83530
Idaho County (208) 494-3050
TAYLOR MICHAEL BROWN MD
Family Medicine
607 W MAIN ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-1700
TERESA LYNN SODERLING FNP-C
Nurse Practitioner (Family)
607 W MAIN ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-8590
MELISSA LANE DPT
Physical Therapist
607 W MAIN ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-1973

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 Carlan Wilson's NPI number?

The NPI number for Carlan Wilson is 1326199092. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Carlan Wilson located?

Carlan Wilson practices at 607 W Main St, Grangeville, ID 83530. The listed phone number is (208) 983-1700.

What is Carlan Wilson's specialty?

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

Is Carlan Wilson enrolled in Medicare?

Yes. Carlan Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlan Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlan Wilson reassigns Medicare benefits to Syringa General Hospital District C I F (Grangeville, ID). The 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 Carlan 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 Carlan Wilson was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.