Individual provider Active NPI

Destiny Wilson, APRN

  • Adult Health Nurse Practitioner
  • Sparta, IL
National Provider Identifier
1265976039
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209015177 Issued in IL
Practice address
1300 N Market St
Sparta, IL 62286-1048
Phone
(618) 443-1337
Fax
(618) 443-3327
NPI assigned
Dec 13, 2016
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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 209015177 IL Primary

Addresses

Primary practice location

1300 N Market St
Sparta, IL 62286-1048

Mailing address

1300 N Market St
Sparta, IL 62286-1048
Phone (618) 443-1337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nch@spartahospital.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170123001593 IL Practitioner - Nurse Practitioner 7911289251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 N Market St
Sparta, IL 62286-1048
Phone (618) 443-4138

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209015177ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Jan 1, 2017 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics Past Accepting new patients

Locations

1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

215 S Burns Ave
Sparta, IL 62286
Phone (618) 443-4889

Interoperability endpoints

  • Direct secure messaging: nch@spartahospital.hin.us

Organizations & group practices 2

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 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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1265976039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MARKET ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861048",
            "telephone_number": "618-443-1337",
            "fax_number": "618-443-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MARKET ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861048",
            "telephone_number": "618-443-1337",
            "fax_number": "618-443-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DESTINY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209015177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nch@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "1300 N Market St",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparta, IL

Sources for this page

Verify at the official NPI Registry.