Individual provider Active NPI

Adrienne Lynn Wilson, APRN, FNP-C

  • Family Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1225748437
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1099268 Issued in TX
Practice address
3206 Interstate 30 West
Suite B
Greenville, TX 75402
Phone
(903) 408-7979
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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 1099268 TX Primary

Addresses

Primary practice location

3206 Interstate 30 West
Suite B
Greenville, TX 75402

Mailing address

634 Jamestown LN
Fate, TX 75189-5118
Phone (469) 586-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20230228003154 TX Practitioner - Nurse Practitioner 3779956412 Reassigns benefits to 2 organizations
I20250312000848 NM Practitioner - Nurse Practitioner 3779956412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renew Health LLCGroup PAC ID 7214314723, 3 clinicians
Hunt Regional Urgent CareGroup PAC ID 1850729682, 31 clinicians

Practice addresses (Care Compare)

207 N Union Ave
Suite E
Roswell, NM 88201-3068
Phone (575) 363-3189

3206 Interstate 30
Suite B
Greenville, TX 75402-7002
Phone (903) 408-7979

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Regional Urgent Care CurrentSince Dec 12, 2022 Accepting new patients
Renew Health LLC Family CurrentSince Jan 9, 2025 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jun 9, 2024 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jun 9, 2024 Accepting new patients
Curednation LLC Family PastSince Sep 1, 2022 Accepting new patients

Locations

207 N Union Ave
Ste E
Roswell, NM 88201
Phone (575) 363-3189

4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700

3206 Interstate Highway 30
Ste B
Greenville, TX 75402
Phone (903) 408-7979

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

810 E Ralph Hall Pkwy
Ste 100
Rockwall, TX 75032
Phone (469) 402-3400

Interoperability endpoints

  • Direct secure messaging: adrienne.wilson.1@9148.direct.athenahealth.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.

Hospital & facility affiliations 1

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1225748437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 JAMESTOWN LN",
            "city": "FATE",
            "state": "TX",
            "postal_code": "751895118",
            "telephone_number": "469-586-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 INTERSTATE 30 WEST",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75402",
            "telephone_number": "903-408-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ADRIENNE",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.