Dr Kyle Lee Wilson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alexander, Arkansas. He graduated from nursing school in 2025 and has 0 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). His current practice location is
257 Reuben Dr, Alexander, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 628-2207.
Dr Kyle Lee Wilson is licensed to practice in Arkansas (license number 155518) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1770470478.
Provider's Profile
| Full Name | Dr Kyle Lee Wilson |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 0 Years |
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| Location | 257 Reuben Dr, Alexander, Arkansas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kyle Lee Wilson graduated from nursing school in 2025
NPI Data:
- NPI Number: 1770470478
- Provider Enumeration Date: 06/24/2025
- Last Update Date: 06/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294234829
- Enrollment ID: I20250819004824
Medical Identifiers
Medical identifiers for Dr Kyle Lee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770470478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 155518 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 155518 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle Lee Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kyle Lee Wilson, CRNA
257 Reuben Dr,
Alexander, AR 72002-7032
Ph: (501) 628-2207 | Dr Kyle Lee Wilson, CRNA
257 Reuben Dr,
Alexander, AR 72002-7032
Ph: (501) 628-2207 |
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