Edna L. Wilson, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN2810512 Issued in FL

Practice address

601 Brooker Creek Blvd
Oldsmar, FL 34677-2962

Phone

(727) 308-9972

NPI assigned

Oct 15, 2009

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PMG Inpatient Services LLCGroup PAC ID 1254878069, 4 clinicians

Prawer Medical GroupGroup PAC ID 1658642434, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Clearwater, FL, CCN 107618

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/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.

• PMG Inpatient Services LLC

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1427899798
  Medicare reassignment Care Compare group NPD
• Prawer Medical Group

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1275053415
  Medicare reassignment Care Compare group
• Curana Health of Florida LLC

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1013628676
  Medicare reassignment NPD
• Sunshine Health Partners, LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1710595640
  Medicare reassignment NPD
• Just Like My Home Too, LLC

  • Developmental Disabilities Clinic/Center
  • Tampa, FL
  • NPI 1528685377
  NPD Authorized official
• Florida Institute of Family Medicine, PA

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1639285141
  NPD (past)
• Optum Care Services Company

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1912199415
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Senior Living Specialties, LLC

  • Home Health Agency
  • Clearwater, FL
  • NPI 1508818022
  Care Compare affiliation

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1932434545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROOKER CREEK BLVD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772962",
            "telephone_number": "727-308-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROOKER CREEK BLVD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772962",
            "telephone_number": "727-308-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EDNA",
        "middle_name": "L.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2810512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067383115",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westchase Physical Therapy and Medical Supply LLC
• Cheryl Elaine White, R.N.
• Joseph Williams, PHARMD
• Jennifer Willms
• Mallory Renee Mary Wilsher, M.S.
• Jaclyn M Wisor
• Glenn Wolfson, M.D.
• Yuen-Fan Wong, OT
• Sean Worix, PA-C
• Mechy F Wright, MA, BCBA

• Family Nurse Practitioner in Oldsmar, FL
• Providers in Oldsmar, 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 Aug 23, 2019; 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.