Kimberly Ann Wilson, MSN, APRN-CNP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

85620 Issued in OK

Practice address

4333 S 172ND East Ave
Tulsa, OK 74134-7281

Phone

(918) 355-0491

NPI assigned

Sep 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Oklahoma Physician Network IncGroup PAC ID 8527224252, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIHBDD
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Northeast Oklahoma Physician Network Inc

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1114283025
  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of Oklahoma, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lawton, OK
  • NPI 1144625740
  Medicare reassignment NPD
• Medical Resource Management, LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment NPD
• Tulsa Emergency Medical Center Inc

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1063479087
  Medicare reassignment NPD
• Northeast Oklahoma Physician Network Inc

  • Urgent Care Clinic/Center
  • Broken Arrow, OK
  • NPI 1205190501
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Urgent Care Incorporated

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1215992235
  NPD (past)

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1841749439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 S 172ND EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741347281",
            "telephone_number": "918-355-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 S 172ND EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741347281",
            "telephone_number": "918-355-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN-CNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "85620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justice Kimberly Wilson
• Keith Nathan Wilson
• Kelli Rae Lee Wilson, RD, PLD
• Kellie Ann Wilson
• Kendra Wilson, DO
• Kyle Andrew Wilson, D.O.
• Kylee Alexis Wilson
• Ladamian Kawon Wilson, DPT
• Lakia Dawn Wilson, LCSW
• Laura Wilson, PHD

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.
• 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.