CHARLY SAMANTHA WYLIE CRNA
NPI 1427566678
Nurse Anesthetist, Certified Registered in Florence, AL

Active since January 22, 2018Accepts Medicare Assignment
97.58/100
CMS Quality Rating
205 MARENGO ST, FLORENCE, AL 35630(256) 768-9191(256) 768-9775 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 19, 2025, Nov 20, 2020, Mar 17, 2018 (3 updates tracked since 2018).

About Charly Samantha Wylie Crna NPPES

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

CHARLY SAMANTHA WYLIE CRNA (NPI 1427566678) is an individual nurse anesthetist, certified registered in Florence, Alabama, licensed in Texas (1018723) and active in the NPI registry since January 2018. She is affiliated with University Of Kentucky Hospital, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427566678
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCHARLY SAMANTHA WYLIECredential: CRNA
Location Address205 MARENGO STFlorence, AL 35630-6033
Mailing AddressPo Box 1198Abilene, TX 79604-1198 · (325) 670-4220 · Fax (325) 670-4040
Fax(256) 768-9775
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 22, 2018
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1427566678 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 TX · 1018723 Licensed in KY · 4007302 Licensed in AL · 1-113371
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.

205 MARENGO ST, Florence, AL 35630

Secondary Practice Locations 3

Location 1201 Avalon AveMuscle Shoals, AL 35661-2805 · Phone (256) 386-1600 · Fax (256) 768-9775
Location 23920 Dutchmans LnLouisville, KY 40207-4702 · Phone (502) 259-6710
Location 3800 Rose StLexington, KY 40536-6033 · Phone (859) 323-5956 · Fax (859) 323-1080

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

Charly Samantha Wylie 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 ID2062767502
PECOS Enrollment IDI20231120001876

Areas of Expertise CMS Part B claims 3

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 large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
29 services29 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
17 services17 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35630 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
205 MARENGO ST
FLORENCE, AL 35630
Emergency Medicine
205 MARENGO ST
FLORENCE, AL 35630
Emergency Medicine
205 MARENGO ST
FLORENCE, AL 35630
Emergency Medicine
205 MARENGO ST
FLORENCE, AL 35630
General Acute Care Hospital
205 MARENGO ST
FLORENCE, AL 35630
Nurse Anesthetist, Certified Registered
205 MARENGO ST
FLORENCE, AL 35630
Anesthesiology
205 MARENGO ST
FLORENCE, AL 35630
Anesthesiology
205 MARENGO ST
FLORENCE, AL 35630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427566678, enumerated as an "individual" on January 22, 2018.

The provider is located at 205 MARENGO ST FLORENCE, AL 35630 and the phone number is (256) 768-9191.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Charly Wylie is affiliated with: UNIVERSITY OF KENTUCKY HOSPITAL.