Kimberly Doutrich Wilson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP011472 Issued in PA

Practice address

555 N Duke St
Lancaster, PA 17602-2250

Phone

(717) 544-8144

Fax

(717) 544-8140

NPI assigned

Aug 12, 2011

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 PA

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

Credentials

Nurse Practitioner

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.

• Lancaster General Hospital

  • Hospitalist Physician
  • Lancaster, PA
  • NPI 1487904769
  Medicare reassignment NPD
• Lancaster General Hospital

  • Gastroenterology Physician
  • Lancaster, PA
  • NPI 1205691912
  NPD

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1598044190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CROFFT DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014889",
            "telephone_number": "717-538-3066",
            "fax_number": "717-544-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-8144",
            "fax_number": "717-544-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KIMBERLY",
        "middle_name": "DOUTRICH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ewain P Wilson, M.D.
• Gregory Todd Wilson, DO
• Jennifer Wilson
• Julenta L Wilson, LPN
• Justin Nathaniel Wilson, M.D.
• Lauren Wilson, RN
• Mary A Wilton
• Daniel C Wimer, PA-C
• Ellen Wimer
• Maung Kyaw Win, MD

• Family Nurse Practitioner in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.