Manuel Wilson, DNP, CRNFA, CNOR

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

0001189503 Issued in VA

Practice address

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178

Phone

(757) 507-1000

NPI assigned

Jul 30, 2025

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1669355103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BRECK AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234641879",
            "telephone_number": "757-348-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 GLENN MITCHELL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560178",
            "telephone_number": "757-507-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Kempsville Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234645571",
            "country_code": "US",
            "telephone_number": "757-348-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MANUEL",
        "credential": "DNP, CRNFA, CNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0001189503",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "VA",
            "license": "0001189503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Mooney Wilson
• Kenzie Wilson
• Kimberley Mae Wilson, RDN
• Kimberly Evonne Wilson, PTA
• Kristen A Wilson, PHARMD
• Marcy Wilson, M.S., CCC-SLP
• Michael George Wilson, PHARMD
• Paschell Wilson
• Phyllis A. Wilson, MS
• Shacana Tori Wilson

• Registered Nurse First Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Registered Nurse First Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.