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

Katelyn Wilson

Individual provider Certified Registered Nurse Anesthetist · NPI 1457191561

Katelyn Wilson is a Certified Registered Nurse Anesthetist (CRNA) in Springdale, Arkansas. Qualified in 2024, 2 years ago. Practices with Lifelinc Anesthesia V, PA, a 41-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024

Practice location Address checks out

2601 Gene George Blvd
Springdale, AR 72762-0845
Phone: (479) 725-6800
Fax: (479) 725-6582
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 148802 (AR)

Record details

NPI number1457191561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing addressPo Box 959794, Saint Louis, MO 63195-9794

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 Lifelinc Anesthesia V, P.A. — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springdale