Susan Wilson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06161819 Issued in NC

Practice address

10 Sunnybrook Rd
Raleigh, NC 27610-1808

Phone

(919) 250-4570

Fax

(919) 250-4581

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Wake

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
  • NPI 1295761617
  Medicare reassignment NPD
• County of Wake

  • State or Local Public Health Clinic/Center
  • Raleigh, NC
  • NPI 1801957576
  NPD
• County of Wake

  • Land Ambulance
  • Raleigh, NC
  • NPI 1922098029
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1528410735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 BIRMINGHAM WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276048406",
            "telephone_number": "919-250-4570",
            "fax_number": "919-250-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101808",
            "telephone_number": "919-250-4570",
            "fax_number": "919-250-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUSAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F06161819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Chapman Wilson, M.D.
• Ryan J Wilson
• Savannah Wilson, RN
• Serena Wilson, LCSW-A, LCAS-A
• Shane' Rolanda Wilson
• Tamara Wertz Wilson, MSW
• Treanna Denise Wilson, LCSWA, LCASA
• Zoe Wilson
• Robert John Wiltberger, ACNP-BC
• Leah Wojciechowski Wiltgen, MS, OTR/L

• Family Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.