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

Jeremy L Wilson, CRNA

Individual provider Registered Nurse · NPI 1902275142

Jeremy L Wilson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Richland, Washington. Qualified in 2015, 11 years ago. Practices with Medstream Anesthesia PLLC, a 577-clinician group and accepts Medicare assignment. Licensed in Minnesota and Washington.

Years since qualifying
11
Licensed in
MN, WA
In the registry since
2015
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

888 Swift Blvd
Richland, WA 99352-3514
Phone: (770) 643-5619
Fax: (678) 352-4322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP60607230 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 212544-6 (MN)

Record details

NPI number1902275142
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 17, 2015
Last updated in NPPESOctober 27, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Medstream Anesthesia Pllc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Richland