Kaylyn Dee Wilson, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APN.0997113-NP Issued in CO

Practice address

1548 N Boise Ave
Loveland, CO 80538

Phone

(970) 669-9245

NPI assigned

Nov 11, 2021

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

Other identifiers 2

Other names 1

• Kaylyn Dee Maston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 27, 2023 through Feb 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1588320857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 GARO CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383437",
            "telephone_number": "970-691-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 N BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-669-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAYLYN",
        "middle_name": "DEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "APN.0997113-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RXN",
            "identifier": "RXN.0106139-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "APN.0997113-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLYN",
            "last_name": "MASTON",
            "middle_name": "DEE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wayne Williamson, PA-C
• Willow Roots, LTD.
• Phyllis Wilner, M.A., L.P.C.
• Daniel R Wilson, M.D.
• Danielle Tori Wilson, LPC, M.ED
• Mary Elizabeth Wilson, PT, DPT, LMT
• Ryan Wilson, L.S.W
• Winding Willow Psychotherapy PLLC
• Winds of Change Counseling, LLC
• Amy Windschitl, LCSW, LISW

• Family Medicine Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.