Active NPI
Adam A Wilson, APRN
- Acute Care Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11004458
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 231-1500
- Fax
- (386) 231-1598
- NPI assigned
- Oct 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11004458 | FL | Primary |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
132 Moultrie Crossing LN
St Augustine, FL 32086-5242
Phone (904) 687-8964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104733000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Shircliff Way
Suite 625
Jacksonville, FL 32204-4776
Phone (904) 308-6900
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1658 St Vincents Way
Ste 100
Middleburg, FL 32068
Phone (904) 354-8200
1658 St Vincents Way
Ste 210
Middleburg, FL 32068
Phone (904) 214-8161
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
400 Health Park Blvd
Ste 300
St Augustine, FL 32086
Phone (904) 819-4082
3100 E Fletcher Ave
#C
Tampa, FL 33613
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- adam.wilson.1@8967.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Internal Medicine Physician
- Palm Coast, FL
- NPI 1740633635
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1235712415
-
dba Ascension St Vincent's Medical Group
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
-
dba Ascension St. Vincent's Southside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1659913531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 MOULTRIE CROSSING LN",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865242",
"telephone_number": "904-687-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEMORIAL MEDICAL PKWY",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175167",
"telephone_number": "386-231-1500",
"fax_number": "386-231-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ADAM",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-12",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11004458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104733000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.