Individual provider Active NPI

Erica Leigh Wilson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Sikeston, MO
National Provider Identifier
1013343276
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016796 Issued in KY
Practice address
1008 N Main St
Sikeston, MO 63801-5044
Phone
(573) 472-7275
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2013028538 MO
Family Nurse Practitioner 363LF0000X 3016796 KY Primary

Addresses

Primary practice location

1008 N Main St
Sikeston, MO 63801-5044

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140212000382 MO Practitioner - Nurse Practitioner 4284863796 Reassigns benefits to 2 organizations
I20211014002306 KY Practitioner - Nurse Practitioner 4284863796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sikeston Emergency Group LLCGroup PAC ID 6305112814, 19 clinicians
Missouri HB Medical Services LLCGroup PAC ID 2668813197, 77 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-9290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.12 of 100Reported as group
Quality
2.83
Improvement activities
40
Cost
82.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3016796KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sikeston Emergency Group LLC CurrentSince Oct 1, 2017 Accepting new patients
Missouri HB Medical Services, LLC CurrentSince May 3, 2024 Accepting new patients
Fep of Kentucky LLC CurrentSince Sep 2, 2023 Accepting new patients

Locations

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1013343276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-472-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-472-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERICA",
        "middle_name": "LEIGH",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013028538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.