Active NPI
Kayann Wilson
- Adult Health Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 303712
- Practice address
- 111 E 210TH St
Bronx, NY 10467-2401 - Phone
- (718) 920-7738
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 303712 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467-2401
Mailing address
19 Gettysburg Rd
Southbury, CT 06488-3018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1579 Straits Tpke
Suite E
Middlebury, CT 06762-1841
Phone (860) 714-5824
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003442 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Montefiore Medical Park | Past | Accepting new patients | |
| Gun Hill MRI PC | Past | Accepting new patients |
Locations
5 Greenwood St
Hartford, CT 06106
Phone (860) 236-2901
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
1579 Straits Tpke
Ste 2A
Middlebury, CT 06762
Phone (203) 754-3631
1579 Straits Tpke
Ste E
Middlebury, CT 06762
Phone (203) 598-0700
2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Interoperability endpoints
- kwilson2998993@direct.trinity-health.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Radiology Clinic/Center
- Bronx, NY
- NPI 1841374592
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Mobile Radiology Clinic/Center
- Bronx, NY
- NPI 1306990478
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952371908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 GETTYSBURG RD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064883018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KAYANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "303712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.