NPIMap

Individual provider Active NPI

Garner Wilson, PA

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1194260208
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120902 Issued in FL
Practice address
1500 S 48TH St
Ste 400
Lincoln, NE 68506-1276
Phone
(402) 483-3333
Fax
(402) 483-3297
NPI assigned
Dec 28, 2016
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120902 FL Primary

Addresses

Primary practice location

1500 S 48TH St
Ste 400
Lincoln, NE 68506-1276

Mailing address

1600 S 48TH St
Ste 600
Lincoln, NE 68506-1283
Phone (402) 483-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170227000568 NE Practitioner - Physician Assistant 9638453202 Reassigns benefits to 2 organizations
I20260123001380 FL Practitioner - Physician Assistant 9638453202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Practitioners, LLCGroup PAC ID 1658688304, 63 clinicians
Integrated Cardiology Group LLCGroup PAC ID 7911803796, 78 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8635

1600 S 48TH St
Lincoln, NE 68506-1275
Phone (402) 483-3333

1600 S 48TH St
Lincoln, NE 68506-1299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as group
Quality
87.74
Promoting interoperability
100
Improvement activities
40
Cost
67.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2101NEMDFamily Medicine Physician
PA9120902FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Jul 14, 2019 Accepting new patients
Florida Practitioners, LLC CurrentSince Jan 12, 2026 Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

1995 E Oakland Park Blvd
Ste 310
Ft Lauderdale, FL 33306
Phone (866) 996-8011

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

Interoperability endpoints

  • Direct secure messaging: gwilson13511@hisp.bryanhealth.org

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

Hospital & facility affiliations 6

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1194260208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "address_2": "STE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061283",
            "telephone_number": "402-483-3333",
            "fax_number": "402-486-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST",
            "address_2": "STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061276",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GARNER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.