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

Wesley Tyrus Stewart, CRNA

Individual provider Registered Nurse · NPI 1003367574

Wesley Tyrus Stewart, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Johnson City, Tennessee. Qualified in 2016, 10 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2016
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

1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Phone: (423) 283-0776
Fax: (423) 283-0549
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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 22217 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 164147 (TN)

Record details

NPI number1003367574
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 20, 2016
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Johnson City