Individual provider Active NPI

Gia Nicole Wilson, APRN, FNP-C

  • Family Nurse Practitioner
  • Niles, OH
National Provider Identifier
1356150494
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0038385 Issued in OH
Practice address
169 Cassandra Dr
Niles, OH 44446-2034
Phone
(330) 883-1041
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.390028 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0038385 OH Primary

Addresses

Primary practice location

169 Cassandra Dr
Niles, OH 44446-2034

Mailing address

169 Cassandra Dr
Niles, OH 44446-2034
Phone (330) 883-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250109002697 OH Practitioner - Nurse Practitioner 5890223465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

421 S High St
Cortland, OH 44410-1437
Phone (330) 485-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.390028OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Med Urgent Care LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

421 S High St
Cortland, OH 44410
Phone (330) 485-0670

3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260

5100 Belmont Ave
Ste 5
Youngstown, OH 44505
Phone 3303336404 ext. 4

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gia.wilson.1@19801.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1356150494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 CASSANDRA DR",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462034",
            "telephone_number": "330-883-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CASSANDRA DR",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462034",
            "telephone_number": "330-883-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GIA",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.390028",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0038385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.