Individual provider Active NPI

Wilgyms St. Hilaire, NP

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1346434966
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335272 Issued in NY
Practice address
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Phone
(646) 722-7610
NPI assigned
Aug 28, 2007
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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 335272 NY Primary

Addresses

Primary practice location

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211

Mailing address

1416 Madison St
Elmont, NY 11003-1308
Phone (516) 680-3622

Other practice location 1

1416 Madison St
Elmont, NY 11003-1308
Phone (516) 680-3622

Other practice location 2

1985 Marcus Ave Ste 110
New Hyde Park, NY 11042-2024
Phone (855) 201-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110427000521 NY Practitioner - Nurse Practitioner 6800071317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Harmony Medical Services of New York PLLCGroup PAC ID 6103282447, 14 clinicians

Practice addresses (Care Compare)

Whitestone, NY 11357
Phone (646) 772-7610

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WB Homecare Adullt& Family Health NP PLLC CurrentSince Aug 4, 2016 Accepting new patients
Harmony Medical Services of New York, PLLC CurrentSince Nov 18, 2024 Accepting new patients
KWB Firstwatch Medical Past Accepting new patients

Locations

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

Interoperability endpoints

  • Direct secure messaging: wilgyms.st-hilaire.1@32913.direct.athenahealth.com
  • Direct secure messaging: wsthilaire@landmarkhealth-direct.org

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1346434966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MADISON ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031308",
            "telephone_number": "516-680-3622",
            "fax_number": "516-616-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 QUEENS BLVD STE 400",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757211",
            "telephone_number": "646-722-7610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 Madison St",
            "address_purpose": "LOCATION",
            "city": "Elmont",
            "state": "NY",
            "postal_code": "110031308",
            "country_code": "US",
            "telephone_number": "516-680-3622",
            "fax_number": "516-616-5449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1985 Marcus Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110422024",
            "country_code": "US",
            "telephone_number": "855-201-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. HILAIRE",
        "first_name": "WILGYMS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.