Individual provider Active NPI

Julie Diane Wilson, APRN

  • Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1467604306
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110989 Issued in NE
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

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090706000139 NE Practitioner - Nurse Practitioner 3476604380 Reassigns benefits to 1 organization

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
Nebraska Urology PCGroup PAC ID 1951372937, 21 clinicians

Practice addresses (Care Compare)

5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone (402) 489-8888

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H-120818IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Urology PC CurrentSince Mar 18, 2024 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

  • Direct secure messaging: julie.wilson.p1@direct.upc.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.