Active NPI
Darla J Wilton, APRN
- Family Nurse Practitioner
- Grand Island, NE
National Provider Identifier
1730102674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 110439
- Practice address
- 2300 W Capital Ave
Grand Island Veterans Home
Grand Island, NE 68803-2097 - Phone
- (308) 385-6252
- Fax
- (308) 385-6260
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 110439 | NE | Primary |
Addresses
Primary practice location
2300 W Capital Ave
Grand Island Veterans Home
Grand Island, NE 68803-2097
Mailing address
2300 W Capital Ave
Grand Island, NE 68803-2097
Phone (308) 385-6252
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47079417000 | Medicaid | NE | |
| 38805 | Other | NE | BLUE CROSS BLUE SHIELD |
| 994.994 | Other | NE | COVENTRY |
| 231749 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151217002069 | MN | Practitioner - Nurse Practitioner | 7214052299 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1730102674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W CAPITAL AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688032097",
"telephone_number": "308-385-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W CAPITAL AVE",
"address_2": "GRAND ISLAND VETERANS HOME",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688032097",
"telephone_number": "308-385-6252",
"fax_number": "308-385-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTON",
"first_name": "DARLA",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "110439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47079417000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38805",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "994.994",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "231749",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.