Individual provider Active NPI

Qi Wilson

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1083180004
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9332258 Issued in FL
Practice address
11200 SW 8TH St
Miami, FL 33199
Phone
(954) 684-2044
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 9332258 FL Primary

Addresses

Primary practice location

11200 SW 8TH St
Miami, FL 33199

Mailing address

1530 W Sandpiper Cir
Pembroke Pines, FL 33026-2829
Phone (954) 684-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190325001657 NY Practitioner - Nurse Practitioner 1658611975 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Medical Consulting PCGroup PAC ID 1951551589, 8 clinicians

Practice addresses (Care Compare)

214 W Houston St
New York, NY 10014-4846
Phone (718) 845-2455

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9332258FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Consulting PC CurrentSince Dec 8, 2021 Accepting new patients
Timothy Turbett MD PC CurrentSince Dec 2, 2022 Accepting new patients
Chinatown True Care Medical PLLC CurrentSince Nov 23, 2022 Accepting new patients
Nys Medical Associate PLLC CurrentSince Apr 12, 2022 Accepting new patients

Locations

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830

300 Community Dr
Plandome, NY 11030

15715 19th Ave
Whitestone, NY 11357
Phone (718) 559-0580

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1083180004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W SANDPIPER CIR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262829",
            "telephone_number": "954-684-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33199",
            "telephone_number": "954-684-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "QI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9332258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.