Active NPI
Julie Diane Wilson, APRN
- Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1467604306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 110989
- Practice address
- 5500 Pine Lake Rd
Lincoln, NE 68516-3389 - Phone
- (402) 489-8888
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | H-120818 | IA | |
| Nurse Practitioner | 363L00000X | 110989 | NE | Primary |
Addresses
Primary practice location
5500 Pine Lake Rd
Lincoln, NE 68516-3389
Mailing address
PO Box 8577
Omaha, NE 68108
Phone (402) 397-7057
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | julie.wilson.p1@direct.upc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone (402) 489-8888
Hospital & facility affiliations
- Bryan Medical Center
- CHI Health St. Elizabeth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H-120818 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Urology PC | Current | Accepting new patients | |
| Midwest Gastrointestinal Associates PC | Nurse Practitioner | Past | Accepting new patients |
Locations
5500 Pine Lake Rd
Lincoln, NE 68516
Phone (402) 489-8888
Interoperability endpoints
- julie.wilson.p1@direct.upc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Urology Physician
- Lincoln, NE
- NPI 1356364335
-
- Gastroenterology Physician
- Omaha, NE
- NPI 1073569125
Nurse Practitioner
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1467604306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8577",
"city": "OMAHA",
"state": "NE",
"postal_code": "68108",
"telephone_number": "402-397-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 PINE LAKE RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163389",
"telephone_number": "402-489-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JULIE",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "H-120818",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "110989",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "julie.wilson.p1@direct.upc.nextgenshare.com",
"affiliation": "N",
"address_1": "5500 Pine Lake Rd",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685163389",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.