Individual provider Active NPI

Natalie Lynn Wilson, MSN, APRN, BC, MPH

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1790782019
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
333034 Issued in AZ
Practice address
4909 E McDowell Rd
Phoenix, AZ 85008-4227
Phone
(602) 685-6000
Fax
(602) 275-1355
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 333034 AZ Primary

Addresses

Primary practice location

4909 E McDowell Rd
Phoenix, AZ 85008-4227

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Other identifiers 1

IdentifierTypeStateIssuer
NP1202MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260130001914 AZ Practitioner - Nurse Practitioner 3678543501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3003 N Central Ave
Suite 400
Phoenix, AZ 85012-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
333034AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terros Inc CurrentSince Jan 1, 2026 Accepting new patients
Terros, Inc CurrentSince Jan 1, 2026 Accepting new patients
Terros, Inc. Past Accepting new patients

Locations

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

1111 S Stapley Dr
Mesa, AZ 85204
Phone (480) 464-6802

222 E Javelina Ave
Ste 1C10
Mesa, AZ 85210

3864 N 27th Ave
Phoenix, AZ 85017
Phone (602) 358-0078

10844 N 23rd Ave
Ste 100200
Phoenix, AZ 85029

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

4616 N 51st Ave
Ste 108
Phoenix, AZ 85031
Phone (480) 566-6497

40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474

1642 S Priest Dr
Ste 101
Tempe, AZ 85281
Phone (480) 296-0097

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1790782019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084227",
            "telephone_number": "602-685-6000",
            "fax_number": "602-275-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NATALIE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MSN, APRN, BC, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "333034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1202",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.