Teya C Wilson

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

5292638-4405 Issued in UT

Practice address

5089 S 900 E Ste 100
Murray, UT 84117-5731

Phone

(801) 743-0700

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

Yes

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 UT

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

Merit-based Incentive Payment System (MIPS)

Final score

61.24 of 100Reported as group

Quality

58.16

Promoting interoperability

0

Improvement activities

40

Cost

62.65

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Senior Health LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Woods Cross, UT
  • NPI 1134721228
  Medicare reassignment NPD
• Truwell Ai

  • Nurse Practitioner
  • Farmington, UT
  • NPI 1295621324
  NPD Authorized official

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1063186872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5089 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841175731",
            "telephone_number": "801-743-0700",
            "fax_number": "801-743-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5089 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841175731",
            "telephone_number": "801-743-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TEYA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "5292638-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Wilson
• Jill Nicole Wilson, ACNP
• Kelsie Lee Wilson
• Melissa Wilson, COTA
• Sakina Wilson
• Jeremy Paul Wimmer, D.C.
• George Winder, DDS
• Elizabeth J. Winfield, PA-C
• Aubrey Winn
• Annette Winter

• Acute Care Nurse Practitioner in Murray, UT
• Providers in Murray, UT by specialty
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.