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CHARLES DERRICK WILSON CRNA
NPI 1730146309
Nurse Anesthetist, Certified Registered in Valley, AL

Active since April 27, 2006Accepts Medicare Assignment
78.75/100
CMS Quality Rating
4800 48TH ST, VALLEY, AL 36854(334) 756-1848(334) 756-1854 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Derrick Wilson Crna NPPES

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

CHARLES DERRICK WILSON CRNA (NPI 1730146309) is an individual nurse anesthetist, certified registered in Valley, Alabama, licensed in Georgia (RN065069) and active in the NPI registry since April 2006. He is affiliated with Wellstar West Georgia Medical Center and is a graduate of Other (1987).

NPPES Registry Identity

NPI1730146309
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCHARLES DERRICK WILSONCredential: CRNA
Location Address4800 48TH STValley, AL 36854-3666
Mailing AddressPo Box 661495Birmingham, AL 35266-1495 · (205) 979-5882 · Fax (205) 979-1248
Phone(334) 756-1848
Fax(334) 756-1854
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 27, 2006
Last NPPES UpdateSeptember 27, 2011
✔ NPI 1730146309 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 GA · RN065069✔ Licensed in AL · 1-044011
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.
4800 48TH ST, Valley, AL 36854
Open in Google Maps ↗

Other Identifiers 9

Medicaid000549381CGA
Medicare ID-Type Unspecified051517977AL · Provider #
Medicaid000549381EGA
Medicaid000549381DGA
Medicare PINP00439209GA
Other51517977AL · Bcbsal Provider #
Medicare UPINR65399
Medicaid051517977AL
Medicare PIN511I430088GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Kansas, Inc..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

Charles Derrick 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 ID2860385895
PECOS Enrollment IDI20080109000103, I20200323000905

Areas of Expertise CMS Part B claims 6

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 access to central vein 00532
Anesthesia for access to a central vein is a medical procedure where a numbing medication is used to minimize discomfort during the insertion of a long, thin tube into a large vein. This tube can be used to deliver medications, fluids, or to collect blood samples.
13 services13 patients
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.
13 services13 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
12 services12 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.
11 services11 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 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 2

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170023
Location401 East SpruceGarden City, KS 67846 · Finney County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36854 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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
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.

SHAWMUT EMERGENCY PHYSICIANS
Emergency Medicine
4800 48TH ST
VALLEY, AL 36854
Chambers County (334) 756-9180
THOMAS M NICHOLS CRNA
Nurse Anesthetist, Certified Registered
4800 48TH ST
VALLEY, AL 36854
Chambers County (334) 756-1848
DR. DONTHAMSETTY APPA RAO MD
Pathology (Anatomic Pathology & Clinical Pathology)
4800 48TH ST
VALLEY, AL 36854
Chambers County (334) 756-9356
ASHTON SCOTT VEGA PHARMD
Pharmacist
4800 48TH ST
VALLEY, AL 36854
Chambers County (334) 710-0275
EMERGENCY STAFFING SOLUTIONS INC
Emergency Medicine
4800 48TH ST
VALLEY, AL 36854
Chambers County (334) 756-9180
THE EAST ALABAMA HEALTH CARE AUTHORITY
Nursing Facility/Intermediate Care Facility
4800 48TH ST
VALLEY, AL 36854
Chambers County (334) 756-1401
EAST ALABAMA COMMUNITY PRENATAL CLINIC, LLC
Obstetrics & Gynecology (Obstetrics)
4800 48TH ST
VALLEY, AL 36854
Chambers County (334) 710-0091
EAMC-LANIER AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
4800 48TH ST
VALLEY, AL 36854
Chambers County (334) 756-9180

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 Charles Wilson's NPI number?

The NPI number for Charles Wilson is 1730146309. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Charles Wilson located?

Charles Wilson practices at 4800 48th St, Valley, AL 36854. The listed phone number is (334) 756-1848.

What is Charles Wilson's specialty?

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

Is Charles Wilson enrolled in Medicare?

Yes. Charles Wilson 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 Charles Wilson accept?

Health plans from Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Kansas, Inc. list Charles Wilson 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.

Is Charles Wilson affiliated with any hospitals?

According to CMS data, Charles Wilson is affiliated with Wellstar West Georgia Medical Center and Centura St. Catherine Hospital-Garden City.

When was this NPI record last updated?

The NPPES record for Charles Wilson was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.