Individual provider Active NPI

Kara Jean Wilson, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Clinton, IN
National Provider Identifier
1013794130
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014305A Issued in IN
Practice address
1764 E. State Route 163
Clinton, IN 47842
Phone
(765) 820-2120
NPI assigned
Sep 12, 2023
Last updated
Sep 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014305A IN Primary

Addresses

Primary practice location

1764 E. State Route 163
Clinton, IN 47842

Mailing address

12016 N Magnetic Acres St
Mooresville, IN 46158-6581
Phone (812) 239-1619

Other practice location 1

1011 Indianapolis Rd
Greencastle, IN 46135-1598
Phone (931) 253-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230920001439 IN Practitioner - Nurse Practitioner 7012361306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

4152 W State Rd
Suite 56
Hanover, IN 47243-9070
Phone (901) 351-1791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
71014305AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince Aug 3, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 18, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 18, 2023 Accepting new patients
FC Indiana, LLC CurrentSince Aug 3, 2024 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1764 E State Road 163
Clinton, IN 47842
Phone (765) 820-2120

1159 W Jefferson St
Ste 204
Franklin, IN 46131

1011 Indianapolis Rd
Greencastle, IN 46135
Phone (765) 630-6406

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694822400000",
    "number": "1013794130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 N MAGNETIC ACRES ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461586581",
            "telephone_number": "812-239-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 E. STATE ROUTE 163",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "47842",
            "telephone_number": "765-820-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Indianapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "461351598",
            "country_code": "US",
            "telephone_number": "931-253-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KARA",
        "middle_name": "JEAN",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014305A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

Verify at the official NPI Registry.