Individual provider Active NPI

Carole Wilson, NP

  • Family Nurse Practitioner
  • Marion, IN
National Provider Identifier
1093820896
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001615A Issued in IN
Practice address
1130 N Baldwin Ave
Marion, IN 46952-2536
Phone
(765) 660-7480
Fax
(765) 382-4495
NPI assigned
Aug 20, 2006
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001615 IN
Family Nurse Practitioner 363LF0000X 71001615A IN Primary

Addresses

Primary practice location

1130 N Baldwin Ave
Marion, IN 46952-2536

Mailing address

330 N Wabash
Ste G20
Marion, IN 46952-2600
Phone (765) 660-7616

Other practice location 1

441 N Wabash Ave
Marion, IN 46952-2690
Phone (765) 660-6000

Other practice location 2

3125 S Scatterfield Rd
Anderson, IN 46013-1802
Phone (765) 298-4790

Other identifiers 1

IdentifierTypeStateIssuer
200487860MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040712000109 IN Practitioner - Nurse Practitioner 1355329830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Physician Network Urgent Care LLCGroup PAC ID 1052819869, 80 clinicians

Practice addresses (Care Compare)

1130 N Baldwin Ave
Marion, IN 46952-2536
Phone (765) 660-7480

3125 S Scatterfield Rd
Suite 100
Anderson, IN 46013-1804
Phone (765) 298-4790

8177 Clearvista Pkwy
Suite 100
Indianapolis, IN 46256-1662
Phone (317) 621-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001615INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physician Network Urgent Care LLC CurrentSince Aug 8, 2025 Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Nurse Practitioner CurrentSince Aug 1, 2019 Accepting new patients
Marion General Hospital CurrentSince Jan 16, 2019 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 1, 2025 Accepting new patients
Marion General Hospital CurrentSince Jan 16, 2019 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 1, 2025 Accepting new patients
Icem, LLC Past Accepting new patients
Nora Urgent Care LLC Past Accepting new patients
Community Health Network, Inc. Past Accepting new patients
St. Vincent Anderson Regional Hospital, Inc. Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

3125 S Scatterfield Rd
Ste 100
Anderson, IN 46013
Phone (765) 298-4790

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

1130 N Baldwin Ave
Marion, IN 46952
Phone (765) 660-7480

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Interoperability endpoints

  • Direct secure messaging: cwilson630125@ecommunitydirect.com

Organizations & group practices 10

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1093820896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH",
            "address_2": "STE G20",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522600",
            "telephone_number": "765-660-7616",
            "fax_number": "765-651-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522536",
            "telephone_number": "765-660-7480",
            "fax_number": "765-382-4495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 N Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522690",
            "country_code": "US",
            "telephone_number": "765-660-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 S Scatterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460131802",
            "country_code": "US",
            "telephone_number": "765-298-4790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CAROLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001615A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200487860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.