MARY A. WILSON CRNA
NPI 1770599615
Nurse Anesthetist, Certified Registered in Rancho Cucamonga, CA

Q: What is Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1770599615. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Mary 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 Mary Wilson was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 31, 2006Accepts Medicare Assignment

10841 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730(909) 581-6400(909) 581-6418 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2021, May 8, 2017 (2 updates tracked since 2017).

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About Mary A. Wilson Crna NPPES

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

MARY A. WILSON CRNA (NPI 1770599615) is an individual nurse anesthetist, certified registered in Rancho Cucamonga, California, licensed in California (NA 2575) and active in the NPI registry since July 2006. She is a graduate of Other (1999).

NPPES Registry Identity

NPI1770599615

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMARY A. WILSONCredential: CRNA

Location Address10841 WHITE OAK AVERancho Cucamonga, CA 91730-3817

Mailing Address210 N Tustin AveSanta Ana, CA 92705-3807 · (714) 347-1010 · Fax (714) 647-1245

Phone(909) 581-6400

Fax(909) 581-6418

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 31, 2006

Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration

✔ NPI 1770599615 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 CA · NA 2575

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.

10841 WHITE OAK AVE, Rancho Cucamonga, CA 91730

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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

Mary A. 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 ID2769376268

PECOS Enrollment IDI20040213000156

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

VISTA HEALTHCARE, LLC

Point of Service

10841 WHITE OAK AVE, SUITE 205
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 581-7272

BLESSING ANESTHESIA MEDICAL GROUP INC

Nurse Anesthetist, Certified Registered

10841 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 581-6400

DR. ZAHER AZZAWI M.D.

Specialist

10841 WHITE OAK AVE, STE # 107
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 483-8361

KND DEVELOPMENT 55, L.L.C.

Long Term Care Hospital

10841 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 581-6400

DR. KEVIN O LAWRENCE MD

Physical Medicine & Rehabilitation

10841 WHITE OAK AVE, SUITE 201
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 581-6400

DR. ZACHARY ZAJAC PHARMD

Pharmacist

10841 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 581-6400

KND DEVELOPMENT 59 LLC

Hospitalist

10841 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 581-6400

SONORA MEDICAL GROUP

Non-Pharmacy Dispensing Site

10841 WHITE OAK AVE, SUITE 201
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 581-7274

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 Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1770599615. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Mary Wilson located?

Mary Wilson practices at 10841 White Oak Ave, Rancho Cucamonga, CA 91730. The listed phone number is (909) 581-6400.

What is Mary Wilson's specialty?

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

Is Mary Wilson enrolled in Medicare?

Yes. Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.