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

Kiernan Patrick Wyllie, CRNA

Individual provider Registered Nurse · NPI 1568031128

Kiernan Patrick Wyllie, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Worcester, Massachusetts. Qualified in 2021, 5 years ago. Practices with Emerson Practice Associates II, Inc, a 49-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
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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 RN2313455 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2313455 (MA)

Record details

NPI number1568031128
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 18, 2021
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Emerson Practice Associates Ii, Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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