Individual provider Active NPI

Alisha Kaye Wilson, APRN NP-C

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1144625914
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
76533 Issued in KS
Practice address
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone
(913) 323-4600
Fax
(913) 317-7018
NPI assigned
Oct 23, 2014
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 53-76533-041 KS
Adult Health Nurse Practitioner 363LA2200X 2014033141 MO
Nurse Practitioner 363L00000X 76533 KS Primary

Addresses

Primary practice location

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030

Mailing address

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (913) 323-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141114000618 MO Practitioner - Nurse Practitioner 3173745726 Reassigns benefits to 1 organization
I20141114000768 KS Practitioner - Nurse Practitioner 3173745726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

1001 6TH Ave
Leavenworth, KS 66048-3248

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1324

12541 Foster St
Suite 240
Overland Park, KS 66213-2301
Phone (913) 317-3170

2791 N Washington St
Saint Lukes Medical Group
Chillicothe, MO 64601-2902
Phone (660) 646-2682

2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-1480

301 NE Rice Rd
Lees Summit, MO 64086-2979
Phone (816) 251-5760

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5151 Troost Ave
Suite 200
Kansas City, MO 64110-2524
Phone (816) 502-9130

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

6655 Martway St
Mission, KS 66202-3290
Phone (913) 323-8875

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76533KSMDNurse Practitioner
53-76533-041KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc Nurse Practitioner CurrentSince Jun 28, 2015 Accepting new patients
Complete Coverage LLC Past Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

4061 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 323-4600

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: awilson9090@direct.saint-lukes.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1144625914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 INDIAN CREEK PKWY",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074030",
            "telephone_number": "913-323-4600",
            "fax_number": "913-317-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 INDIAN CREEK PKWY",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074030",
            "telephone_number": "913-323-4600",
            "fax_number": "913-317-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALISHA",
        "middle_name": "KAYE",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-76533-041",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2014033141",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "76533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.