Alicia Ann Wilson, RN, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14842 Issued in TN

Practice address

400 E Tickle St
Dyersburg, TN 38024-3120

Phone

(731) 288-3610

NPI assigned

Dec 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, KY2 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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Truhealth LLCGroup PAC ID 2163653478, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

• Truhealth, LLC

  • Nurse Practitioner
  • Parsons, TN
  • NPI 1063843951
  Medicare reassignment Care Compare group NPD
• Ultra Health LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  KY

  Medicare reassignment Care Compare group NPD
• Behavioral Healthcare Center at Martin LLC

  • Psychiatric Hospital
  • Martin, TN
  • NPI 1144324831
  Medicare reassignment NPD
• SHC Medical Partners of Tennessee, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1609051895
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  TN

  Medicare reassignment NPD
• Cane Ridge Emergency Physicians LLC

  • Emergency Medicine Physician
  • Smyrna, TN
  • NPI 1275815433
  NPD (past)
• Hub City Emergency Physicians LLC

  • Emergency Medicine Physician
  • Jackson, TN
  • NPI 1972552651
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1649509332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243120",
            "telephone_number": "731-288-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243120",
            "telephone_number": "731-288-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 Reelfoot St",
            "address_purpose": "LOCATION",
            "city": "Tiptonville",
            "state": "TN",
            "postal_code": "380791607",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "366 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "KY",
            "postal_code": "420311324",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4000583",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4000583",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "150829",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14842",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "14842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521553",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Wilder Claxton, DPT
• Bethany Wilks, PHARM.D.
• William M. Steely
• Darnisha Williams
• Stephannie Raye Williams, CM
• Rachael Eileen Wisdom, PHARMD
• James Hardy Wolfe, MD
• Womens Clinic of Dyersburg, PLLC
• Brittney Leigh Woods, OTR/L
• Mary Katherine Woods, PHARMD

• Family Nurse Practitioner in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.