Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cameron Susanna Wylie, CRNA

Individual provider Registered Nurse · NPI 1730751314

Cameron Susanna Wylie, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Worth, Texas. Qualified in 2024, 2 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

801 7th Ave
Fort Worth, TX 76104-2733
Phone: (682) 885-4054
Fax: (682) 885-7497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1305 N Martin Ave, Tucson, AZ 85721-0001 — (520) 626-6154

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1169655 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 23704103 (TX)

Record details

NPI number1730751314
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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