Individual provider Active NPI

Wislise Nadege Zamor-Nelson, NP

  • Family Nurse Practitioner
  • Vacaville, CA
National Provider Identifier
1457014300
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02210913 Issued in CA
Practice address
1020 Nut Tree Rd # 270
Vacaville, CA 95687-4100
Phone
(707) 646-4100
NPI assigned
Oct 18, 2021
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 F02210913 CA Primary

Addresses

Primary practice location

1020 Nut Tree Rd # 270
Vacaville, CA 95687-4100

Mailing address

4500 Business Center Dr
Fairfield, CA 94534-6888

Other practice location 1

813 Westgate Dr
Vacaville, CA 95687-7724
Phone (707) 330-3982

Other practice location 2

1860 Pennsylvania Ave Ste 300
Fairfield, CA 94533-3550
Phone (707) 646-4100

Other names 1

  • Wislise Nadege Zamor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230831003972 CA Practitioner - Nurse Practitioner 3173986528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

1020 Nut Tree Rd
Suite 260 270 and 290
Vacaville, CA 95687-4100
Phone (707) 624-8290

1679 E Monte Vista Ave
Suite 104
Vacaville, CA 95688-3123
Phone (707) 624-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02210913CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc Current Accepting new patients
Northbay Health Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Northbay Healthcare Group CurrentSince Aug 1, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince Aug 1, 2024 Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

1860 Pennsylvania Ave
Ste 300
Fairfield, CA 94533
Phone (707) 438-2735

4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-4777

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

1020 Nut Tree Rd
#270
Vacaville, CA 95687
Phone (707) 646-4100

1679 E Monte Vista Ave
Ste 104
Vacaville, CA 95688
Phone (707) 624-7400

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

415 Georgia St
Vallejo, CA 94590
Phone (707) 556-8100

101 Main St
Winters, CA 95694
Phone (530) 795-4123

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1457014300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BUSINESS CENTER DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 NUT TREE RD # 270",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874100",
            "telephone_number": "707-646-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Westgate Dr",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956877724",
            "country_code": "US",
            "telephone_number": "707-330-3982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Pennsylvania Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945333550",
            "country_code": "US",
            "telephone_number": "707-646-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMOR-NELSON",
        "first_name": "WISLISE",
        "middle_name": "NADEGE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F02210913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WISLISE",
            "last_name": "ZAMOR",
            "middle_name": "NADEGE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.