Karen Louise Wilsman, AGNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3016183 Issued in KY

Practice address

3939 7TH Street Rd
Louisville, KY 40216-4103

Phone

(502) 883-6800

NPI assigned

Dec 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, IN2 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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDABCD/Endpoint/JDABCD

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.

• Exceptional Care Services LLC

  • Primary Care Clinic/Center
  • Lexington, KY
  • NPI 1245900794

  Nurse Practitioner

  Medicare reassignment NPD
• PMR Ky Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1740737709

  KY, Nurse Practitioner

  Medicare reassignment NPD
• VB Medical Group

  • Family Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1285234237
  Medicare reassignment NPD
• PMR Ky Holding, LLC

  • Community/Retail Pharmacy
  • Louisville, KY
  • NPI 1083197388
  NPD (past)
• Compassus Op of Arizona LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1013467364
  NPD (past)

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

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1043608052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "502-883-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 7TH STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164103",
            "telephone_number": "502-883-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4135 S Power Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852123625",
            "country_code": "US",
            "telephone_number": "480-626-2444",
            "fax_number": "409-409-2987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSMAN",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-27",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3016183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469208",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043608052",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.wilsman@63061247983620.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "4135 S Power Rd Ste 113",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852123625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lacey Wills
• Rheagan Wills, PHARMD
• Neil Andrew Willsey, R.PH.
• Shari Rose Willy, RD, LDE
• Jessica Nicole Wilmore, MS, CCC-SLP
• Jack T Wilson III, D.M.D.
• Taylor Nicole Wilson Matthews
• Wilson Transportation
• Peyton Wilson-Camp
• Aaron Hugh Wilson, DMD

• Primary Care Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.