Individual provider Active NPI

Erica Wilson, RN

  • Registered Nurse
  • Chicago, IL
National Provider Identifier
1972231967
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041432378 Issued in IL
Practice address
11130 S Western Ave # Store1
Chicago, IL 60643-3963
Phone
(773) 941-8665
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041432378 IL Primary

Addresses

Primary practice location

11130 S Western Ave # Store1
Chicago, IL 60643-3963

Mailing address

11130 S Western Ave
Chicago, IL 60643-3963
Phone (773) 941-8665

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041432378ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith'S Care Partners LLC CurrentSince Mar 12, 2023 Accepting new patients
Meredith'S Care Partners LLC CurrentSince Mar 30, 2025 Accepting new patients

Locations

11130 S Western Ave
Ste 1
Chicago, IL 60643
Phone (773) 941-8665

Organizations & group practices 2

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1972231967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433963",
            "telephone_number": "773-941-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 S WESTERN AVE # STORE1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433963",
            "telephone_number": "773-941-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERICA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041432378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.