JEFFERY C WILT CRNA
NPI 1366493488
Nurse Anesthetist, Certified Registered in Phoenix, AZ

Active since May 13, 2006Accepts Medicare Assignment
84.44/100
CMS Quality Rating
6501 N 19TH AVE, PHOENIX, AZ 85015(602) 795-6020 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2024, Oct 19, 2023 (2 updates tracked since 2023).

About Jeffery C Wilt Crna NPPES

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

JEFFERY C WILT CRNA (NPI 1366493488) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (300934) and active in the NPI registry since May 2006. He maintains a secondary practice location in Myrtle Beach and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366493488
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEFFERY C WILTCredential: CRNA
Location Address6501 N 19TH AVEPhoenix, AZ 85015-1646
Mailing AddressPo Box 1792Columbia, SC 29202-1792
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 13, 2006
Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1366493488 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
Licenses Licensed in AZ · 300934 Licensed in SC · R76080
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.

6501 N 19TH AVE, Phoenix, AZ 85015

Secondary Practice Location 1

Location 1809 82nd PkwyMyrtle Beach, SC 29572-4607 · Phone (843) 692-1062

Other Identifiers 1

MedicaidAN1307SC

Accepted 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

Jeffery C Wilt 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 ID9133108830
PECOS Enrollment IDI20240409004328

Areas of Expertise CMS Part B claims 4

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 x-ray on vein or lymph system 01930
Anesthesia for an x-ray on the vein or lymph system is a medical procedure where medication is given to eliminate any discomfort. It helps ensure you don't feel pain during the x-ray. It can be general (you're asleep) or local (only a specific area is numbed).
29 services19 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
24 services24 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
15 services15 patients
Anesthesia for other procedure on lower spine 00630
Anesthesia for a lower spine procedure involves administering medication to block pain and sensation in your back. This ensures comfort and stillness during the procedure. The type of anesthesia used depends on the specific procedure and your overall health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85015 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

84.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Improvement Activities40
Cost69.53

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
6501 N 19TH AVE
PHOENIX, AZ 85015
Anesthesiology
6501 N 19TH AVE
PHOENIX, AZ 85015
Radiology (Diagnostic Radiology)
6501 N 19TH AVE, RADIOLOGY DEPT.
PHOENIX, AZ 85015
Nurse Anesthetist, Certified Registered
6501 N 19TH AVE
PHOENIX, AZ 85015
Nurse Anesthetist, Certified Registered
6501 N 19TH AVE
PHOENIX, AZ 85015
Anesthesiology
6501 N 19TH AVE
PHOENIX, AZ 85015
Physiological Laboratory
6501 N 19TH AVE, STE A
PHOENIX, AZ 85015
Pharmacist
6501 N 19TH AVE
PHOENIX, AZ 85015

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 Jeffery Wilt's NPI number?

The NPI number for Jeffery Wilt is 1366493488. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Jeffery Wilt located?

Jeffery Wilt practices at 6501 N 19th Ave, Phoenix, AZ 85015. The listed phone number is (602) 795-6020.

What is Jeffery Wilt's specialty?

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

Is Jeffery Wilt enrolled in Medicare?

Yes. Jeffery Wilt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffery Wilt accept?

Health plans from Blue Cross Blue Shield of Arizona list Jeffery Wilt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffery Wilt was last updated on March 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.