MATTHEW ROYAL WILSON CRNA
NPI 1356988547
Nurse Anesthetist, Certified Registered in Petoskey, MI

Q: What is Matthew Wilson's NPI number?

The NPI number for Matthew Wilson is 1356988547. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Q: What is Matthew 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 Matthew Wilson was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 06, 2019Accepts Medicare Assignment

416 CONNABLE AVE, PETOSKEY, MI 49770(231) 348-2795(231) 348-2031 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, May 6, 2026, Dec 6, 2019 (3 updates tracked since 2019).

On this page

About Matthew Royal Wilson Crna NPPES

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

MATTHEW ROYAL WILSON CRNA (NPI 1356988547) is an individual nurse anesthetist, certified registered in Petoskey, Michigan, licensed in Michigan (4704299657) and active in the NPI registry since December 2019. He is affiliated with Mclaren Northern Michigan and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356988547

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMATTHEW ROYAL WILSONCredential: CRNA

Location Address416 CONNABLE AVEPetoskey, MI 49770-2212

Mailing Address602 Jackson StPetoskey, MI 49770-2220 · (231) 348-2795 · Fax (232) 348-2031

Phone(231) 348-2795

Fax(231) 348-2031

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 6, 2019

Last NPPES UpdateJune 1, 20263 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1356988547 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 MI · 4704299657

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.

416 CONNABLE AVE, Petoskey, MI 49770

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Royal 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 ID547698557

PECOS Enrollment IDI20200324003594

Medicare Billing Reassignments

Medicare enrollment records show Matthew Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Anesthesia Providers PC

0.2 mi

Anesthesiology

602 JACKSON ST
Petoskey, MI 49770

Reassigned Medicare billing, Michigan enrollment
39 clinicians in this Medicare group

NPI 1396834628 (231) 348-2795

St Mary Mercy Hospital Crna

220 mi

Nurse Anesthetist, Certified Registered

36475 5 MILE RD
Livonia, MI 48154

Reassigned Medicare billing, Michigan enrollment
97 clinicians in this Medicare group

NPI 1063602092 (734) 655-4800

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

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

21 services20 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

KEELY MARIE BLOSH NP

Nurse Practitioner