Active NPI
Paula Jean Wilson, APRN
- Family Nurse Practitioner
- Apo, NY
National Provider Identifier
1104828607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1002465
- Practice address
- Unit 2709 Box 6
Apo, NY 34021-2709 - Phone
- (505) 266-4925
- Fax
- (505) 266-9941
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN1002465 | DC | Primary |
Addresses
Primary practice location
Unit 2709 Box 6
Apo, NY 34021-2709
Mailing address
RR 1 Box 51G
Jasonville, IN 47438-9801
Phone (011) 505-2664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1002465 | DC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104828607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 51G",
"city": "JASONVILLE",
"state": "IN",
"postal_code": "474389801",
"telephone_number": "011-505-2664",
"fax_number": "505-266-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIT 2709 BOX 6",
"city": "APO",
"state": "NY",
"postal_code": "340212709",
"telephone_number": "505-266-4925",
"fax_number": "505-266-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PAULA",
"middle_name": "JEAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1002465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.