Michelle Wilcox, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95025923 Issued in CA

Practice address

1240 Broadway
El Cajon, CA 92021-4994

Phone

(619) 841-1310

Fax

(619) 841-1311

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive PathwayGroup PAC ID 4284081639, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Revive Pathway

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Cajon, CA
  • NPI 1962117440

  TX

  Medicare reassignment Care Compare group NPD
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Santee, CA
  • NPI 1396058137
  Medicare reassignment NPD
• Elevate Health LLC

  • Family Nurse Practitioner
  • Sheridan, WY
  • NPI 1942166442
  NPD Authorized official
• Parmela Sawhney MD Inc

  • Family Medicine Physician
  • Coronado, CA
  • NPI 1124266978
  NPD
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Granada Hills, CA
  • NPI 1043667660
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1194418012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214994",
            "telephone_number": "619-841-1310",
            "fax_number": "619-841-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214994",
            "telephone_number": "619-841-1310",
            "fax_number": "619-841-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katya Marie Whitney
• Christina Whitten
• Suzanne Whittlesey, LCSW
• Wholehearted Living Therapy Licensed Professional Clinical Counselor,
• Jonathan S. Wiedle
• Ashley Laughlin Wilder, A.P.R.N., C.N.P
• Ashlynn Wildrom
• James Wiley
• Kimberlie Suzanne Wilkerson
• Shakira Alexandria Wilkerson

• Nurse Practitioner in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.

Verify at the official NPI Registry.