Individual provider Active NPI

Josseline Isabel Wilson, ARNP-C

  • Acute Care Nurse Practitioner
  • Navarre, FL
National Provider Identifier
1902204746
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN9351358 Issued in FL
Practice address
2564 Hidden Creek Dr
Navarre, FL 32566-6701
Phone
(251) 455-8835
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9351358 FL
Acute Care Nurse Practitioner 363LA2100X APRN9351358 FL Primary

Addresses

Primary practice location

2564 Hidden Creek Dr
Navarre, FL 32566-6701

Mailing address

2564 Hidden Creek Dr
Navarre, FL 32566-6701
Phone (251) 455-8835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220511002617 FL Practitioner - Nurse Practitioner 0244630747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Lung Group, M.D.'S, P.a.Group PAC ID 7517928062, 31 clinicians

Practice addresses (Care Compare)

4700 Bayou Blvd
Suite 6
Pensacola, FL 32503-1901
Phone (850) 477-9253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9351358FLMDRegistered Nurse
APRN9351358FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Infectious Diseases Inc CurrentSince Jan 2, 2025 Accepting new patients
Pensacola Nephrology, PA CurrentSince Jan 10, 2025 Accepting new patients
Pensacola Nephrology, PA CurrentSince Jan 10, 2025 Accepting new patients
Pensacola Nephrology, PA Past Accepting new patients
Gulf Coast Infectious Disease Past Accepting new patients

Locations

6001 Industrial Blvd
Century, FL 32535
Phone (251) 943-2300

221 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-6606

1118 Gulf Breeze Pkwy
Ste 202
Gulf Breeze, FL 32561
Phone (850) 416-2340

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

5819 Highway 90
Milton, FL 32583
Phone (850) 623-8299

2120 E Johnson Ave
Ste 105
Pensacola, FL 32514
Phone (850) 549-4755

2940 N Blue Angel Pkwy
Pensacola, FL 32506
Phone (850) 453-3658

8354 N Davis Hwy
Pensacola, FL 32514
Phone (850) 450-4865

8333 N Davis Hwy
Fl 2
Pensacola, FL 32514
Phone (850) 474-8719

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

598 N Fairfield Dr
Ste 3
Pensacola, FL 32506

5149 N 9th Ave
Ste G35
Pensacola, FL 32504
Phone (850) 471-1445

1619 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone 85044447001730

700 E Cervantes St
Pensacola, FL 32501
Phone (850) 477-4700

Organizations & group practices 6

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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1902204746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 HIDDEN CREEK DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666701",
            "telephone_number": "251-455-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 HIDDEN CREEK DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666701",
            "telephone_number": "251-455-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSSELINE",
        "middle_name": "ISABEL",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9351358",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9351358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.