NPIMap

Organization Active NPI

Wilson Medical Practice NP

  • General Practice Physician
  • Cape Coral, FL
National Provider Identifier
1447849088
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WILSON MEDICAL PRACTICE NP
Practice address
2028 NW 6TH St
Cape Coral, FL 33993-7527
Phone
(239) 322-6470
Fax
(239) 206-2449
NPI assigned
Jan 17, 2021
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Brett M Wilson, APRNNPI 1053928804
Title
Aprn
Phone
(239) 322-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2028 NW 6TH St
Cape Coral, FL 33993-7527

Mailing address

2030 NW 5TH Ter
Cape Coral, FL 33993-7536
Phone (239) 322-6470

Other practice location 1

24850 Old 41 Rd Ste 15
Bonita Springs, FL 34135-7087
Phone (239) 322-6470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brettwilsonnp@direct.practicefusion.com Direct

National Provider Directory

National Provider Directory

Locations

24850 Old 41 Rd
Ste 15
Bonita Springs, FL 34135
Phone (239) 322-6470

Interoperability endpoints

  • Direct secure messaging: brettwilsonnp@direct.practicefusion.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1447849088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NW 5TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937536",
            "telephone_number": "239-322-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 NW 6TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937527",
            "telephone_number": "239-322-6470",
            "fax_number": "239-206-2449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24850 Old 41 Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341357087",
            "country_code": "US",
            "telephone_number": "239-322-6470",
            "fax_number": "239-206-2449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILSON MEDICAL PRACTICE NP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "239-322-6470",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brettwilsonnp@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2030 NW 5th Ter",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339937536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.