Individual provider Active NPI

Adam A Wilson, APRN

  • Acute Care Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1659913531
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11004458 Issued in FL
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

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104733000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202001524 FL Practitioner - Nurse Practitioner 0840623054 Reassigns benefits to 5 organizations

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
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

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

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Nov 7, 2019 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Mar 1, 2021 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Mar 1, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 7, 2019 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jan 13, 2026 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 6, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 6, 2021 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Mar 1, 2021 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Mar 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.