Individual provider Active NPI

Patrick M Wilson, APRN-BC

  • Adult Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1235295031
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
110671 Issued in NE
Practice address
7215 Ontario St
Omaha, NE 68124-3574
Phone
(402) 531-9997
NPI assigned
Dec 28, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 110671 NE Primary

Addresses

Primary practice location

7215 Ontario St
Omaha, NE 68124-3574

Mailing address

140 S 77TH St
Omaha, NE 68114-4577
Phone (402) 934-4535

Other practice location 1

140 S 77th St
Omaha, NE 68114-4577
Phone (402) 934-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210810000446 NE Order and Referring Only - Nurse Practitioner 5890725980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110671NEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates of America, P.a. Adult Health PastSince Feb 28, 2005 Accepting new patients
Geriatric Associates of America-Texas, PLLC Adult Health Past Accepting new patients
Workfit Inc PastSince May 1, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1235295031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S 77TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144577",
            "telephone_number": "402-934-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 ONTARIO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243574",
            "telephone_number": "402-531-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 S 77th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681144577",
            "country_code": "US",
            "telephone_number": "402-934-4535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PATRICK",
        "middle_name": "M",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "110671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.