Individual provider Active NPI

Erica Rene Wilt, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1003253857
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME166086 Issued in FL
Practice address
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone
(239) 208-2206
NPI assigned
Jun 3, 2013
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X U9107 TX
Neurology Physician 2084N0400X 2024010304 MO
Neurology Physician 2084N0400X 35.150808 OH
Neurology Physician 2084N0400X MD220714 OR
Neurology Physician 2084N0400X MD61551018 WA
Neurology Physician 2084N0400X 98605 GA
Neurology Physician 2084N0400X ME166086 FL Primary
Hospitalist Physician 208M00000X ME166086 FL
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 2017-01913 NC

Addresses

Primary practice location

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206

Mailing address

624 Quaker LN Ste D201
High Point, NC 27262-3832
Phone (336) 781-4065

Other practice location 1

624 Quaker Ln Ste D201
High Point, NC 27262
Phone (336) 781-4065

Other practice location 2

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other practice location 3

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 4

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

Other practice location 5

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (470) 788-1010

Other identifiers 1

IdentifierTypeStateIssuer
121213700MedicaidFL

Other names 1

  • Dr. Erica Rene Wilt Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address ewilt912053@direct.ketteringhealth.org
Direct Messaging Address ewilt663099@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, NH, MO, KY, OH, GA, ND, SC, OR, WA, MI, NY13 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
I20180823003560 NC Practitioner - Neurology 5294084265 Reassigns benefits to 9 organizations
I20240209003898 FL Practitioner - Neurology 5294084265 Reassigns benefits to 2 organizations
I20240319000376 NH Practitioner - Neurology 5294084265 Reassigns benefits to 4 organizations
I20240406000572 MO Practitioner - Neurology 5294084265 Reassigns benefits to 1 organization
I20240508003507 KY Practitioner - Neurology 5294084265 Reassigns benefits to 1 organization
I20240530002230 OH Practitioner - Neurology 5294084265 Reassigns benefits to 1 organization
I20240611003960 GA Practitioner - Neurology 5294084265 Reassigns benefits to 2 organizations
I20240713000653 ND Practitioner - Neurology 5294084265 Reassigns benefits to 1 organization
I20241121001203 SC Practitioner - Neurology 5294084265 Reassigns benefits to 5 organizations
I20241226000594 OR Practitioner - Neurology 5294084265 Reassigns benefits to 2 organizations
I20250110002820 WA Practitioner - Neurology 5294084265 Reassigns benefits to 1 organization
I20250110003370 MI Practitioner - Neurology 5294084265 Reassigns benefits to 1 organization
I20260511000108 NY Practitioner - Neurology 5294084265 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Telespecialists North Carolina Neurology Services PLLCGroup PAC ID 7719348978, 28 clinicians
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Virtual Neurology PCGroup PAC ID 4981087897, 57 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

Durham, NC 27705
Phone (239) 208-2212

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 253-6985

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

215 Bandelier CT
Clemmons, NC 27012-9859
Phone (239) 208-2212

2151 W Spring St
Monroe, GA 30655-3202
Phone (770) 267-8461

2160 Fountain Dr
Snellville, GA 30078-7022
Phone (470) 788-1010

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

350 Hospital Dr
Macon, GA 31217-3838
Phone (470) 788-1010

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (470) 788-1010

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U9107TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Aug 15, 2024 Accepting new patients
McLeod Health Clarendon CurrentSince Aug 15, 2024 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Jun 1, 2024 Accepting new patients
Nchmd, Inc CurrentSince Feb 2, 2024 Accepting new patients
Altru Health System CurrentSince Jun 27, 2024 Accepting new patients
Concord Hospital-Laconia CurrentSince Jan 18, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Mar 6, 2024 Accepting new patients
Altru Health System CurrentSince Jun 27, 2024 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 18, 2025 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Aug 15, 2024 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Apr 1, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Neurology CurrentSince Aug 15, 2024 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 18, 2025 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Jan 6, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Aug 15, 2024 Accepting new patients
McLeod Health Cheraw CurrentSince Aug 15, 2024 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Oct 1, 2024 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Dec 26, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Mar 6, 2024 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Mar 12, 2024 Accepting new patients
McLeod Health Clarendon CurrentSince Aug 15, 2024 Accepting new patients
Silverton Health CurrentSince Dec 10, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 6, 2024 Accepting new patients
Piedmont Hospitalist Physicians LLC Hospitalist CurrentSince May 28, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Dec 6, 2024 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince May 28, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Aug 15, 2024 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince May 9, 2024 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Jun 1, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Dec 7, 2024 Accepting new patients
Lee Health System Inc CurrentSince Feb 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 26, 2024 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
McLeod Medical Center-Dillon Hospitalist CurrentSince Aug 15, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Dec 10, 2024 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince May 27, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Nchmd Inc CurrentSince Feb 2, 2024 Accepting new patients
Silverton Health CurrentSince Dec 10, 2024 Accepting new patients
Upson Medical Associates LLC CurrentSince Oct 27, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 15, 2024 Accepting new patients
Legacy Clinics LLC Hospitalist CurrentSince Dec 10, 2024 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Lee Health System Inc CurrentSince Feb 1, 2025 Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Jan 13, 2026 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
North Carolina Baptist Hospital Past Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations (25 of 45)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157

2790 Clay Edwards Dr
Ste 1235
North Kansas City, MO 64116
Phone (816) 472-5157

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: ewilt230555@santaclaravalley.direct-ci.net
  • Direct secure messaging: ewilt663099@direct.leememorial.org
  • Direct secure messaging: ewilt71569@epicdirect.hf.org
  • Direct secure messaging: ewilt912053@direct.ketteringhealth.org

Organizations & group practices 59

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 59

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1003253857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN STE D201",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-781-4065",
            "fax_number": "336-716-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Quaker Ln Ste D201",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "27262",
            "country_code": "US",
            "telephone_number": "336-781-4065",
            "fax_number": "336-716-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1968 Peachtree Rd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091281",
            "country_code": "US",
            "telephone_number": "470-788-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILT",
        "first_name": "ERICA",
        "middle_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U9107",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2024010304",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.150808",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD220714",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61551018",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "98605",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME166086",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME166086",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NC",
            "license": "2017-01913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121213700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewilt912053@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewilt663099@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "WILT",
            "middle_name": "RENE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.