Individual provider Active NPI

Jennifer Anne Wilson, APRN

  • Family Nurse Practitioner
  • Andover, KS
National Provider Identifier
1437533106
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76812 Issued in KS
Practice address
324 W Central Ave Ste G
Andover, KS 67002-9694
Phone
(316) 518-4284
Fax
(316) 462-0929
NPI assigned
Jul 13, 2015
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 76812 KS Primary

Addresses

Primary practice location

324 W Central Ave Ste G
Andover, KS 67002-9694

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160913001280 KS Practitioner - Nurse Practitioner 0143516419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 N 159TH St E
Suite E
Wichita, KS 67230-7538

324 W Central Ave
Suite G
Andover, KS 67002-9694

5309 Murfreesboro Rd
Unit 1317
La Vergne, TN 37086-9998

5309 Murfreesboro Rd Unit
Suite 1317
LA Vergne, TN 37086-1649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76812KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Apr 11, 2022 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Apr 11, 2022 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Mar 23, 2023 Accepting new patients
Homestead Health and Wellness Family CurrentSince Jun 3, 2024 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

324 W Central Ave
Ste G
Andover, KS 67002
Phone (316) 518-4284

4601 W 109th St
Ste 100
Overland Park, KS 66211
Phone (913) 491-0765

200 N Broadway Ave
Fl 5
Wichita, KS 67202
Phone (316) 425-7774

3876 N Woodlawn Blvd
Ste 400
Wichita, KS 67220

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1437533106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W CENTRAL AVE STE G",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029694",
            "telephone_number": "316-518-4284",
            "fax_number": "316-462-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.