Kristen Elizabeth Wilson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11023285 Issued in FL

Practice address

705 Harvard St
Brooksville, FL 34601-2842

Phone

(352) 345-8070

Fax

(888) 690-5082

NPI assigned

May 4, 2012

Reactivated

Dec 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: kristenwilson@nsapl.allscriptsdirect.net

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.

• Flash Wellness, LLC

  • Nurse Practitioner
  • Brooksville, FL
  • NPI 1104707355
  NPD Authorized official
• Neuroscience and Spine Associates PL

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1023847563
  NPD
• Neuroscience and Spine Associates PL

  • Specialist
  • Naples, FL
  • NPI 1811177298
  NPD
• Neuroscience and Spine Associates PL

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1922578566
  NPD
• Neuroscience and Spine Associates PL

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1669536645
  NPD (past)

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1740549112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 HARVARD ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012842",
            "fax_number": "888-690-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HARVARD ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012842",
            "telephone_number": "352-345-8070",
            "fax_number": "888-690-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "deactivation_date": "2022-12-01",
        "reactivation_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP11023285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ARNP11023285",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Suzanne Williams
• Simon Williams, MSW
• Tekuila Williams, APRN
• Sterling Lewis Wills
• Wilmoth Inc.
• Sarah Winterton
• Carmen Wise
• Lori L Wistling, APRN
• Lisa Wolf, APRN
• Wolter Elsa H

• Family Nurse Practitioner in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.