Active NPI
Nicole Wilson, APRN, FNP-C
- Family Nurse Practitioner
- Danville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3010389
- Practice address
- 200 Skywatch Dr
Danville, KY 40422-2540 - Phone
- (615) 425-4246
- Fax
- (615) 425-4265
- NPI assigned
- Aug 8, 2016
- Last updated
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3010389 | KY | Primary |
Addresses
Primary practice location
200 Skywatch Dr
Danville, KY 40422-2540
Mailing address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543
Phone (859) 608-0562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2195 Harrodsburg Rd
Suite 125
Lexington, KY 40504-3504
Phone (859) 323-2232
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients |
Locations
200 Skywatch Dr
Danville, KY 40422
Phone (859) 236-0408
2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732
4101 Tates Creek Centre Dr
Lexington, KY 40517
Phone (859) 272-2575
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
Interoperability endpoints
- nwilson23898@ukhcdirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1487108411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD STE 125",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043543",
"telephone_number": "859-608-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SKYWATCH DR",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222540",
"telephone_number": "615-425-4246",
"fax_number": "615-425-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3010389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.