Individual provider Active NPI

Michele L. Nelson-Wilkins, APRN

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1528369907
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4286 Issued in CT
Practice address
30 Shelburne Road
Stamford, CT 06904
Phone
(203) 276-7298
Fax
(203) 355-4842
NPI assigned
Nov 16, 2010
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4286 CT Primary
Family Nurse Practitioner 363LF0000X 824078 TX

Addresses

Primary practice location

30 Shelburne Road
Stamford, CT 06904

Mailing address

30 Shelburne Road
Stamford, CT 06904
Phone (203) 276-7298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130328000120 TX Practitioner - Nurse Practitioner 5698910461 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1235274952 CurrentSince Aug 4, 2023 Accepting new patients
City of Houston Current Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Jan 26, 2013 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

1809 N Main St
Houston, TX 77009
Phone (713) 547-8076

4410 Reed Rd
Houston, TX 77051
Phone (832) 395-0069

8000 N Stadium Dr
Fl 7
Houston, TX 77054
Phone (713) 794-9104

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone 7134368151 ext. 8221

Organizations & group practices 3

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": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1528369907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SHELBURNE ROAD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06904",
            "telephone_number": "203-276-7298",
            "fax_number": "203-355-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHELBURNE ROAD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06904",
            "telephone_number": "203-276-7298",
            "fax_number": "203-355-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-WILKINS",
        "first_name": "MICHELE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "4286",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "824078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.