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

Individual provider Certified Registered Nurse Anesthetist · NPI 1104958412

William Wieties, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lumberton, North Carolina. Qualified in 1978, 48 years ago. Practices with Atlantic Coast Anesthesia Services PC, a 76-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
48
Licensed in
MO
In the registry since
2007
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

300 W 27th St
Lumberton, NC 28358-3075
Phone: (910) 671-5000
Fax: (910) 738-3764
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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 102562 (MO)

Record details

NPI number1104958412
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 12, 2007
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address2600 N Elm St, Lumberton, NC 28358-3011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Atlantic Coast Anesthesia Services Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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