Jenna Holland King Wilson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Matthews, NC

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Jenna Holland King Wilson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Matthews, North Carolina. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Novant Health Matthews Medical Center Llc and her current practice location is 1500 Matthews Township Pkwy, Matthews, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-6500.

Jenna Holland King Wilson is licensed to practice in North Carolina (license number 104668) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780083113.

Contact Information

Jenna Holland King Wilson, CRNA
1500 Matthews Township Pkwy,
Matthews, NC 28105-4656
(704) 384-6500
Not Available

Map and Direction




Provider's Profile

Full NameJenna Holland King Wilson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location1500 Matthews Township Pkwy, Matthews, North Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jenna Holland King Wilson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1780083113
  • Provider Enumeration Date: 08/21/2014
  • Last Update Date: 10/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163744301
  • Enrollment ID: I20141125001802

Medical Identifiers

Medical identifiers for Jenna Holland King Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780083113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 104668 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Matthews Medical CenterMatthews, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Health Matthews Medical Center Llc640684524758

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jenna Holland King Wilson allows following entities to bill medicare on her behalf.
Entity NameNovant Health Thomasville Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033160205
PECOS PAC ID: 5890605224
Enrollment ID: O20031222000916
Entity NameMedical Park Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003867516
PECOS PAC ID: 4880595958
Enrollment ID: O20040120000968
Entity NameThe Presbyterian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053365817
PECOS PAC ID: 1153231907
Enrollment ID: O20040223001121
Entity NameFirsthealth Of The Carolinas Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053482596
PECOS PAC ID: 8820909377
Enrollment ID: O20040308000442
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NameNovant Health Rowan Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508931544
PECOS PAC ID: 3375452519
Enrollment ID: O20040422001655
Entity NameProvidence Anesthesiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396739884
PECOS PAC ID: 3971566761
Enrollment ID: O20041111000930
Entity NameNovant Health Matthews Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184782419
PECOS PAC ID: 6406845247
Enrollment ID: O20051114000445
Entity NamePresbyterian Sameday Surgery Center At Ballantyne Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1215061049
PECOS PAC ID: 4587759949
Enrollment ID: O20070928000739
Entity NamePresbyterian Sameday Surgery Center At Huntersville Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1063641801
PECOS PAC ID: 8426197971
Enrollment ID: O20100521000450
Entity NameNmg Southpark Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952690109
PECOS PAC ID: 6901075977
Enrollment ID: O20110808000705
Entity NameBrunswick Community Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669725198
PECOS PAC ID: 9335150895
Enrollment ID: O20130903000403
Entity NameMedstream Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140304001209
Entity NameNovant Health Kernersville Outpatient Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1750892659
PECOS PAC ID: 3870858525
Enrollment ID: O20180530000007
Entity NameNovant Health Mint Hill Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063910404
PECOS PAC ID: 8123374394
Enrollment ID: O20181018000540
Entity NameNovant Health Clemmons Outpatient Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1528521887
PECOS PAC ID: 6103154778
Enrollment ID: O20190820003091
Entity NameNovant Health Ballantyne Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760190607
PECOS PAC ID: 4880065143
Enrollment ID: O20230518003163

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. Jenna Holland King 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 AddressPractice Location Address
Jenna Holland King Wilson, CRNA
1500 Matthews Township Pkwy,
Matthews, NC 28105-4656

Ph: (704) 384-6500		Jenna Holland King Wilson, CRNA
1500 Matthews Township Pkwy,
Matthews, NC 28105-4656

Ph: (704) 384-6500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Matthews, NC

Hope Mancini Wood, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Healing Way, Matthews, NC 28104
Phone: 800-821-1535    
Ms. Naomi K Tipton, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1500 Matthews Township Pkwy, Matthews, NC 28105
Phone: 704-280-9243    Fax: 704-316-8716
Mrs. Rochunda Pelmore Lewis, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1500 Matthews Township Pkwy, Matthews, NC 28105
Phone: 704-384-6500    Fax: 336-768-9019
Mr. Craig Robert Foosaner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 312 Devonport Rd, Matthews, NC 28104
Phone: 704-839-1372    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.