Scott Wilson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9370829 Issued in FL

Practice address

18150 Murdock Cir BLDG G
Port Charlotte, FL 33948-4027

Phone

(941) 623-4444

NPI assigned

Sep 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, TN2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.wilson.1@18192.direct.athenahealth.com

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.

• Cookeville Medical Center PC

  dba Cookeville Medical Center

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1013055912
  Medicare reassignment NPD
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  FL

  Medicare reassignment NPD
• Upper Cumberland Rural Health Clinic PLLC

  dba TN Pediatric & Adolescent Center

  • Rural Health Clinic/Center
  • Sparta, TN
  • NPI 1831994235
  NPD (past)

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

{
    "created_epoch": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1558845594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18150 MURDOCK CIR BLDG G",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484027",
            "telephone_number": "941-623-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18150 MURDOCK CIR BLDG G",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484027",
            "telephone_number": "941-623-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N Willow Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012453",
            "country_code": "US",
            "telephone_number": "931-528-8899",
            "fax_number": "931-520-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SCOTT",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-15",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9370829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101890500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Williams, LMHC
• Carol Wilson, APRN
• David G Wilson III, DDS
• Jennifer Lee Wilson
• Kathryn M. Wilson
• Daisy Nichole Wiman, ITDS
• Winding Road Emergency Physicians, LLC
• Derick Alexander Winn, HEARING SPECIALIST
• Jacob Xavior Witt, APRN
• Charmaine Rosemarie Wolfe, LMHC

• Family Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.