Individual provider Active NPI

Eric J Wilson, ARNP

  • Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1811483324
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9317347 Issued in FL
Practice address
6400 W Newberry Rd Ste 210
Gainesville, FL 32605-6602
Phone
(352) 331-3583
Fax
(352) 331-3669
NPI assigned
Jul 9, 2018
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9317347 FL Primary
Registered Nurse 163W00000X RN9317347 FL

Addresses

Primary practice location

6400 W Newberry Rd Ste 210
Gainesville, FL 32605-6602

Mailing address

2405 SE 17TH St Ste 201
Ocala, FL 34471-9190
Phone (352) 690-2171

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ERIC.WILSON@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
81.9
Promoting interoperability
99
Improvement activities
40
Cost
75.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9317347FLMDRegistered Nurse
ARNP9317347FLMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: eric.wilson@hca5.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1811483324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SE 17TH ST STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719190",
            "telephone_number": "352-690-2171",
            "fax_number": "352-690-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD STE 210",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056602",
            "telephone_number": "352-331-3583",
            "fax_number": "352-331-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9317347",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9317347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ERIC.WILSON@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6400 W Newberry Rd Ste 210",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326056602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.