Kelly Edward Wilson, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

ME149235 Issued in FL

Practice address

350 7TH St N
Naples, FL 34102-5754

Phone

(239) 624-3997

Fax

(239) 624-8101

NPI assigned

Jun 26, 2012

Last updated

May 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, TN, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Internal Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Naples Community Hospital Hospital, Naples, FL, CCN 100018
• Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score

85.39 of 100Reported as group

Quality

74.12

Promoting interoperability

100

Improvement activities

40

Cost

77.17

Merit-based Incentive Payment System (MIPS)

Final score

95.25 of 100Reported as apm

Quality

87.73

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.84 of 100Reported as group

Quality

79.14

Promoting interoperability

92

Improvement activities

40

Cost

80.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
• Direct secure messaging: kwilson23370@nchhealthcaresystem.direct-ci.com
• Direct secure messaging: kwilson325113@direct.leememorial.org

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.

• Nchmd Inc

  • Hematology & Oncology Physician
  • Naples, FL
  • NPI 1831120195
  Medicare reassignment Care Compare group NPD
• FHPG, LLC

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1760329486
  Medicare reassignment Care Compare group
• App of Tennessee HM, PLLC

  • Hospitalist Physician
  • Shelbyville, TN
  • NPI 1396160768
  Medicare reassignment NPD
• Nchmd, Inc

  • Durable Medical Equipment & Medical Supplies
  • Naples, FL
  • NPI 1033904651
  NPD
• FHPG, LLC

  dba FirstHealth Family Medicine-Ellerbe

  • Family Medicine Physician
  • Ellerbe, NC
  • NPI 1336154129
  NPD
• FHPG, LLC

  dba FirstHealth Montgomery Memorial Hospital Professional Services

  • Specialist
  • Troy, NC
  • NPI 1346279445
  NPD
• FHPG, LLC

  dba FirstHealth Primary Care - Tramway

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1942196035
  NPD
• American Anesthesiology Consultants PLLC

  • Specialist
  • Cookeville, TN
  • NPI 1700044278
  NPD (past)
• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  dba Firsthealth Bariatric Center

  • Obesity Medicine (Internal Medicine) Physician
  • Pinehurst, NC
  • NPI 1740463967

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  dba Firsthealth Regional EMS System

  • Land Ambulance
  • Pinehurst, NC
  • NPI 1871610378

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  dba FirstHealth Cancer Center

  • Oncology Clinic/Center
  • Pinehurst, NC
  • NPI 1417010422

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  dba FH Moore Regional Hospital (Acute)

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081
  Care Compare affiliation

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1275897027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-3997",
            "fax_number": "239-624-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-3997",
            "fax_number": "239-624-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Gordon",
            "state": "GA",
            "postal_code": "309055741",
            "country_code": "US",
            "telephone_number": "316-258-4479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KELLY",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-37263",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "57325",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME149235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilson325113@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra Wilson-Gallares, L.P.N.
• Bobette Wilson, RN, CARN
• Elena S Wilson, RNFA
• Heidi Ann Wilson, LCSW
• John Bernard Wilson, M.D.
• Kelsey Wilson
• Maria Francesca Zampogna Wilson
• Michael Wilson, M.D
• Robert Wilcox Wilson, D.O.
• Emily Wing, MD

• Hospitalist Physician in Naples, FL
• Providers in Naples, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.