NPIMap

Individual provider Active NPI

Carla Michelle Wilson, RN, APRN-CNP

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1346686227
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008066 Issued in KY
Practice address
2441 S. Hwy 27
Somerset, KY 42501
Phone
(606) 677-4068
Fax
(606) 678-0814
NPI assigned
May 17, 2013
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008066 KY Primary
Registered Nurse 163W00000X 1123818 KY

Addresses

Primary practice location

2441 S. Hwy 27
Somerset, KY 42501

Mailing address

2441 S. Hwy 27
Somerset, KY 42501
Phone (606) 677-4068

Other identifiers 2

IdentifierTypeStateIssuer
50054186OtherKYPASSPORT HEALTH PLAN
7100251570MedicaidKY

Other names 1

  • Carla Michelle Erby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1123818KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Hematology Oncology PSC Family PastSince Jul 3, 2004 Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Past Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
Commonwealth of Kentucky Past Accepting new patients

Organizations & group practices 6

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1346686227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 S. HWY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-677-4068",
            "fax_number": "859-236-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 S. HWY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-677-4068",
            "fax_number": "606-678-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CARLA",
        "middle_name": "MICHELLE",
        "credential": "RN, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008066",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1123818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50054186",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100251570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "ERBY",
            "middle_name": "MICHELLE",
            "credential": "RN, APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.