Caroline Wilson

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3010847 Issued in KY

Practice address

1651 Independence CT Ste 211
Homewood, AL 35209-4179

Phone

(205) 580-1500

Fax

(205) 844-3399

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCH Ventures LLCGroup PAC ID 4981958188, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.52 of 100Reported as group

Quality

72.22

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CCH Ventures, LLC

  dba Renew Dermatology

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1861976060
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1447792338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 INDEPENDENCE CT STE 125",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094179",
            "telephone_number": "205-580-1500",
            "fax_number": "205-844-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 INDEPENDENCE CT STE 211",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094179",
            "telephone_number": "205-580-1500",
            "fax_number": "205-844-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-136920",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3010847",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3010847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Wilbanks, MD
• Wildflower Online Wellness
• Jocelyn Wiley, PHARMD
• Carla Maxine Wilkinson, OTRL
• William a Lovell, III, DMD (Lovell Pediatric Dentistry)
• David Jordan Wilson, CRNP
• Tameron Wilson
• Winslett & Winslett Psychological Services, LLC
• Andrea H Winslett, PH.D.
• Shelley Wilcox Winzeler, PA-C

• Adult Health Nurse Practitioner in Homewood, AL
• Providers in Homewood, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.