Active NPI
Pearlie Wilson-Natal, FNP
- Family Nurse Practitioner
- Douglas, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4841
- Practice address
- 100 E 5TH St
Douglas, AZ 85607-2859 - Phone
- (520) 364-7659
- Fax
- (520) 364-8541
- NPI assigned
- Apr 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | AP4841 | AZ | Primary |
Addresses
Primary practice location
100 E 5TH St
Douglas, AZ 85607-2859
Mailing address
198 S Coronado Dr
Suite B
Sierra Vista, AZ 85635-6354
Phone (520) 439-0115
Other practice location 1
198 S Coronado Dr
Suite B
Sierra Vista, AZ 85635-6354
Phone (520) 439-0115
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PEARLIEWILSONNATAL@cqch.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383
Hospital & facility affiliations
- Copper Queen Community Hospital
- Tucson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeuo Health | Family | Current | Accepting new patients |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Bisbee Hospital Association | Past | Accepting new patients |
Locations
101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383
100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659
10524 E Highway 92
Hereford, AZ 85615
Phone (520) 366-0300
Interoperability endpoints
- pearliewilsonnatal@cqch.cernerdirect.com
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- Family Nurse Practitioner
- Huachuca City, AZ
- NPI 1902365430
-
- Rural Health Clinic/Center
- Hereford, AZ
- NPI 1245986975
-
- Point of Service
- Bisbee, AZ
- NPI 1508137209
-
- Clinic/Center
- Bisbee, AZ
- NPI 1568471696
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1194169102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 S CORONADO DR",
"address_2": "SUITE B",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856356354",
"telephone_number": "520-439-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 5TH ST",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856072859",
"telephone_number": "520-364-7659",
"fax_number": "520-364-8541"
}
],
"practiceLocations": [
{
"address_1": "198 S Coronado Dr",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Sierra Vista",
"state": "AZ",
"postal_code": "856356354",
"country_code": "US",
"telephone_number": "520-439-0115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON-NATAL",
"first_name": "PEARLIE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-20",
"last_updated": "2022-08-12",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4841",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PEARLIEWILSONNATAL@cqch.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Copper Queen Hospital Douglas RHC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "100 E 5th St",
"city": "Douglas",
"state": "AZ",
"country_code": "US",
"postal_code": "856072859",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Douglas, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.