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

Donovan Dean Wilson

Individual provider Certified Registered Nurse Anesthetist · NPI 1093743726

Donovan Dean Wilson is a Certified Registered Nurse Anesthetist (CRNA) in Bristol, Tennessee. Qualified in 1984, 42 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in Tennessee and Texas.

Years since qualifying
42
Licensed in
TN, TX
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-1121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 112090 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 37086 (TN)

Record details

NPI number1093743726
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESMay 20, 2019
Mailing address350 Blountville Hwy, Ste 207, Bristol, TN 37620-0213

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bristol