Katelyn Wilson, in Springdale, AR - Medicare Nurse Anesthetist, Certified Registered

Katelyn Wilson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springdale, Arkansas. Her current practice location is 2601 Gene George Blvd, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 725-6800.

Katelyn Wilson is licensed to practice in Arkansas (license number 148802) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457191561.

Contact Information

	Katelyn Wilson,
	2601 Gene George Blvd, Springdale, AR 72762-0845
	(479) 725-6800
	(479) 725-6582

Map and Direction

Provider's Profile

Full Name	Katelyn Wilson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2601 Gene George Blvd, Springdale, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457191561
Provider Enumeration Date: 05/28/2024
Last Update Date: 09/19/2025

Medicare PECOS Information:

PECOS PAC ID: 5193261170
Enrollment ID: I20240725004713

Medical Identifiers

Medical identifiers for Katelyn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457191561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	148802 (Arkansas)	Primary

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. Katelyn Wilson allows following entities to bill medicare on her behalf.

Entity Name	Lifelinc Anesthesia V, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267

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. Katelyn 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
Katelyn Wilson, Po Box 959794, Saint Louis, MO 63195-9794 Ph: (501) 364-1100	Katelyn Wilson, 2601 Gene George Blvd, Springdale, AR 72762-0845 Ph: (479) 725-6800

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springdale, AR

Shannon Nguyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099
Garret Myhan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099
Mr. Joe Vernon Casey Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Sherrie Bonner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099
Emily Jo Stickney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Brandie Jolie Cockrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Mrs. Stephanie Michele Kendall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099

Katelyn Wilson, - Medicare Nurse Anesthetist, Certified Registered in Springdale, AR