Individual provider Active NPI

Aymee Wilson, ARNP

  • Family Nurse Practitioner
  • Live Oak, FL
National Provider Identifier
1467807347
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9272614 Issued in FL
Practice address
112 Irvin Ave SW
Live Oak, FL 32064-2214
Phone
(386) 330-6380
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 ARNP9272614 FL Primary

Addresses

Primary practice location

112 Irvin Ave SW
Live Oak, FL 32064-2214

Mailing address

8405 127TH Dr
Live Oak, FL 32060-8835
Phone (386) 647-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161207002510 FL Practitioner - Nurse Practitioner 3971883018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Urgent Care CenterGroup PAC ID 1456578665, 8 clinicians

Practice addresses (Care Compare)

2786 W US Hwy 90
Suite 105
Lake City, FL 32055-7723
Phone (386) 758-2944

Hospital & facility affiliations

  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9272614FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nahed S. Sobhy M.D. P.a. Current Accepting new patients
Mercy Medical Urgent Care Center CurrentSince Oct 12, 2024 Accepting new patients

Locations

2786 W US Highway 90
Ste 105
Lake City, FL 32055
Phone (386) 758-2944

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 1

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1467807347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 127TH DR",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320608835",
            "telephone_number": "386-647-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 IRVIN AVE SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642214",
            "telephone_number": "386-330-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AYMEE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9272614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

Verify at the official NPI Registry.