Michael Todd Wilkerson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

19438 Issued in TN

Practice address

3114 Browns Mill Rd
Johnson City, TN 37604-1417

Phone

(423) 631-0432

Fax

(423) 232-8818

NPI assigned

Jun 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Revida Recovery Centers PCGroup PAC ID 1153657473, 28 clinicians

Crossroads Treatment Centers of Tennessee, PCGroup PAC ID 6204262025, 31 clinicians

Practice addresses (Care Compare)

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.

• Crossroads Treatment Centers of Tennessee, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Harriman, TN
  • NPI 1316403405
  Medicare reassignment Care Compare group NPD
• Revida Recovery Centers, PC

  • Addiction Medicine (Family Medicine) Physician
  • Abingdon, VA
  • NPI 1013483486

  TN

  Medicare reassignment Care Compare group NPD
• Crossroads Treatment Centers of Tennessee, P.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fayetteville, TN
  • NPI 1780541607
  NPD

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1629450457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 BROWNS MILL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041417",
            "telephone_number": "423-963-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 BROWNS MILL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041417",
            "telephone_number": "423-631-0432",
            "fax_number": "423-232-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019438",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Wienczkowski, M.D.
• Robert Lloyd Wiggins, RPH
• Natalie Grace Wigle, LCSW
• Casey James Wilbert, PHARM.D
• Wendy R Wilgus, APN
• Brittany Wilkins, PH.D., L.C.S.W.
• Garrett Ronald Wilkins, PA
• Makenna Grace Wilkins
• Amber F Wilkinson, APN
• Mark J Wilkinson, MD

• Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.