Individual provider Active NPI

Anne Tate Wilson, CRNP

  • Primary Care Nurse Practitioner
  • Athens, AL
National Provider Identifier
1043609670
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-037745 Issued in AL
Practice address
101 Fitness Way
Suite 1200
Athens, AL 35611-2480
Phone
(256) 232-0636
Fax
(256) 232-1281
NPI assigned
Jan 20, 2015
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-037745 AL Primary

Addresses

Primary practice location

101 Fitness Way
Suite 1200
Athens, AL 35611-2480

Mailing address

101 Fitness Way
Suite 1200
Athens, AL 35611-2480
Phone (256) 232-0636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150506001409 AL Practitioner - Nurse Practitioner 9032438494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belinda Maples M.D., P.C.Group PAC ID 5496706954, 4 clinicians

Practice addresses (Care Compare)

101 Fitness Way
Suite 1200
Athens, AL 35611-2492
Phone (256) 232-0636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belinda Maples M.D., P.C. CurrentSince Mar 1, 2015 Accepting new patients

Locations

101 Fitness Way
Ste 1200
Athens, AL 35611
Phone (256) 232-0636

Interoperability endpoints

  • Direct secure messaging: annewilsoncrnp@apca.direct.kno2fy.com
  • Direct secure messaging: awilson@apca.ssdirect.aprima.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1043609670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FITNESS WAY",
            "address_2": "SUITE 1200",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112480",
            "telephone_number": "256-232-0636",
            "fax_number": "256-232-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FITNESS WAY",
            "address_2": "SUITE 1200",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112480",
            "telephone_number": "256-232-0636",
            "fax_number": "256-232-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANNE",
        "middle_name": "TATE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-037745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.