Emilia Elizabeth Wilson, FNP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2015019799 Issued in MO

Practice address

242 Broadmoor Dr
Raymore, MO 64083-8642

Phone

(816) 803-0433

NPI assigned

Mar 15, 2022

Last updated

Nov 4, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatric Primary Care PAGroup PAC ID 2466796024, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Belton Regional Medical Center Hospital, Belton, MO, CCN 260214

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Geriatric Primary Care PA

  • Family Medicine Physician
  • Raymore, MO
  • NPI 1073082350

  KS

  Medicare reassignment Care Compare group NPD
• Carbon Health Medical Group of Kansas PA

  • Urgent Care Clinic/Center
  • Kansas City, MO
  • NPI 1497357396

  KS

  Medicare reassignment NPD
• Urgent Care Billing

  dba UC Physicians Billing

  • Urgent Care Clinic/Center
  • Saint Joseph, MO
  • NPI 1275717860
  NPD

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

• Midwest Division - RBH, LLC

  dba Belton Regional Medical Center

  • General Acute Care Hospital
  • Belton, MO
  • NPI 1063470763
  Care Compare affiliation

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1053069468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 E 155TH ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640129520",
            "telephone_number": "816-803-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BROADMOOR DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838642",
            "telephone_number": "816-803-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EMILIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2015019799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Whitford, DDS
• Joshua Whitford, DDS
• Lisa Whitten, LPC
• Kathleen McKenzie Wilhelmus
• Traci Williams, LPCC
• Kyle William Wilson, LP
• James Houston Withers III, LPC
• Jessica Rose Wood, PSY.D.
• Christopher Worth, LCSW
• Susan Wulff, LPC

• Acute Care Nurse Practitioner in Raymore, MO
• Providers in Raymore, MO by specialty
• Acute Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.