Individual provider Active NPI

Sharnisse King Wilson

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1144011024
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038435 Issued in FL
Practice address
6145 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34747-4512
Phone
(407) 303-4655
Fax
(407) 303-4654
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 APRN11038435 FL Primary

Addresses

Primary practice location

6145 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34747-4512

Mailing address

6145 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34747-4512
Phone (407) 303-4655

Other practice location 1

805 E Oak St Ste 1
Kissimmee, FL 34744-4576
Phone (407) 933-0021

Other identifiers 1

IdentifierTypeStateIssuer
127043600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250611004097 FL Practitioner - Nurse Practitioner 8527578103 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Rojas, M.D.,LLC CurrentSince Jun 30, 2025 Accepting new patients
Adventhealth Primary Care Network Inc Family Past Accepting new patients

Locations

805 E Oak St
Ste 1
Kissimmee, FL 34744
Phone (407) 933-0021

4151 Hunters Park Ln
Ste 116
Orlando, FL 32837
Phone (407) 483-0672

Organizations & group practices 2

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": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1144011024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 W IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474512",
            "telephone_number": "407-303-4655",
            "fax_number": "407-303-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 W IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474512",
            "telephone_number": "407-303-4655",
            "fax_number": "407-303-4654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 E Oak St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347444576",
            "country_code": "US",
            "telephone_number": "407-933-0021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHARNISSE",
        "middle_name": "KING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127043600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.