RANDALL J WILSON CRNA NPI 1396846499

Nurse Anesthetist, Certified Registered in Sheffield, AL

NPI 1396846499 Individual Male Years of Experience 20 Nurse Anesthetist, Certified Registered Accepts Medicare Approved Payment Medicare Quality Reporting

About RANDALL WILSON

Randall Wilson is a provider established in Sheffield, Alabama and his medical specialization is nurse anesthetist, certified registered with more than 20 years of experience. The NPI number of Randall Wilson is 1396846499 and was assigned on September 2006. The practitioner's primary taxonomy code is 367500000X with license number 1083888 (AL). The provider is registered as an individual and his NPI record was last updated 15 years ago. Randall Wilson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: pre-operative osa assessment, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, use of qcdr data for quality improvement such as comparative analysis reports across patient populations, use of qcdr for feedback reports that incorporate population health and use of qcdr to support clinical decision making. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1396846499

Provider Name RANDALL J WILSON CRNA
Provider Location Address1300 S MONTGOMERY AVE SHEFFIELD, AL 35660
Provider Mailing Address6 HARBORVIEW CT NE DECATUR, AL 35601
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-25-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.1083888
License StateAL
Taxonomy Description(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.

Business Address

RANDALL J WILSON CRNA
1300 S MONTGOMERY AVE
SHEFFIELD, AL
ZIP 35660
Phone: (256) 386-4005
Fax: (256) 386-4685

Get Directions


Mailing Address

RANDALL J WILSON CRNA
6 HARBORVIEW CT NE
DECATUR, AL
ZIP 35601
Phone: (256) 642-1344
Fax: (256) 353-8477



Medicare Participation

PECOS PAC ID5092790204
PECOS Enrollment IDI20040622000822
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 36Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 19Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 12Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)
  • 11Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 11Anesthesia for procedure in upper abdomen including use of an endoscope (HCPCS:00790)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Pre-operative OSA assessment 100% 579
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Randall Wilson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ATHENS LIMESTONE HOSPITAL700 WEST MARKET STREET
ATHENS, AL 35611
(256) 233-9292Acute Care Hospitals10079

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
P91110MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790752285 TIMOTHY I MELSON MD
Individual
Anesthesiology1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4196
1770550261 MICHAEL L GOSNEY MD
Individual
Anesthesiology1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4196
1194792697 JAMES N JETER JR. MD
Individual
Anesthesiology1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4196
1902867195 DANICA PRUETT MD
Individual
Anesthesiology1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4724
1255378246NORTH ALABAMA EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(770) 874-5439
1235171919DR. VINAYA K YADLA MD
Individual
Emergency Medicine1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4559
1912941592DR. LARRY THOMAS LAYNE DO
Individual
Emergency Medicine1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4559
1144244088DR. PAMELA NANCY BARBER M.D.
Individual
Hospitalist1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4680
1396758819 JOSEPH M KIM MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(800) 277-6500
1558463448 DANIEL JOSEPH PUCKETT CRNA
Individual
Nurse Anesthetist, Certified Registered1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005
1205937240 KRISTY L RICHARDS PA
Individual
Physician Assistant1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005
1427158583 ROY E PATRICK CRNA
Individual
Nurse Anesthetist, Certified Registered1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005
1275633349 ERIC C STEVENS CRNA
Individual
Nurse Anesthetist, Certified Registered1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005
1700978756 SANDRA DIANNE BOYETT CRNA
Individual
Nurse Anesthetist, Certified Registered1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005
1619060282 DONALD C HUNTER CRNA
Individual
Nurse Anesthetist, Certified Registered1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005
1740362821 JOSE CLAUDIO CHAVES MD
Individual
Hospitalist1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(636) 530-0800
1699811885 SELENA STUART INMAN PT
Individual
Physical Therapist1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005
1114063245 BRIAN HOWARD CLARK PT
Individual
Physical Therapist1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005
1215057807MS. JO ANNE CANADA CRNP
Individual
Nurse Practitioner (Family)1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4681
1598942161 TIFFANY CABLER DAILY CRNA
Individual
Nurse Anesthetist, Certified Registered1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4005

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.