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

Nicole Elyse Wilson

Individual provider Certified Registered Nurse Anesthetist · NPI 1164920245

Nicole Elyse Wilson is a Certified Registered Nurse Anesthetist (CRNA) in Norfolk, Virginia. Qualified in 2017, 9 years ago. Practices with Smg Anesthesia Specialists LLC, a 498-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2018
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Practice location Address checks out

600 Gresham Dr
Norfolk, VA 23507-1904
Phone: (757) 473-0055
Fax: (757) 473-0075
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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 0024175768 (VA)

Record details

NPI number1164920245
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2018
Last updated in NPPESJanuary 24, 2018
Mailing address134 Business Park Dr, Virginia Beach, VA 23462-6523

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Smg Anesthesia Specialists Llc — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Norfolk