Individual provider Active NPI

Allison Wilson, NP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1558786129
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026991 Issued in PA
Practice address
1144 Locust St
Philadelphia, PA 19107-6734
Phone
(267) 703-4718
Fax
(267) 703-4718
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8808 WI
Family Nurse Practitioner 363LF0000X SP026991 PA Primary
Family Nurse Practitioner 363LF0000X 338563 NY

Addresses

Primary practice location

1144 Locust St
Philadelphia, PA 19107-6734

Mailing address

1144 Locust St
Philadelphia, PA 19107-6734
Phone (267) 703-4718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170510001925 NY Practitioner - Nurse Practitioner 9537446000
I20190410001834 WI Practitioner - Nurse Practitioner 9537446000 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8808WIMDNurse Practitioner
338563NYMDFamily Nurse Practitioner
SP026991PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Creek Womens Clinic SC Nurse Practitioner CurrentSince Sep 15, 2019 Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients
Planned Parenthood Southeastern Pennsylvania Past Accepting new patients

Locations

130 S Barstow St
Ste 1B
Eau Claire, WI 54701
Phone (715) 579-4424

1024 N Main St
Rice Lake, WI 54868
Phone (715) 234-7776

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1558786129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076734",
            "telephone_number": "267-703-4718",
            "fax_number": "267-703-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076734",
            "telephone_number": "267-703-4718",
            "fax_number": "267-703-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALLISON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8808",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026991",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.