Individual provider Active NPI

Edith Eugenia Wilson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tonawanda, NY
National Provider Identifier
1982732301
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405187-01 Issued in NY
Practice address
1370 Niagara Falls Blvd
Tonawanda, NY 14150-8431
Phone
(716) 831-1800
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 303729 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405187-01 NY Primary

Addresses

Primary practice location

1370 Niagara Falls Blvd
Tonawanda, NY 14150-8431

Mailing address

55 Dodge Rd
Getzville, NY 14068-1205

Other names 1

  • Edith Pickens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050211000741 NY Practitioner - Nurse Practitioner 8628020294 Reassigns benefits to 2 organizations

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
Horizon Health Services IncGroup PAC ID 5698689925, 144 clinicians

Practice addresses (Care Compare)

1370 Niagara Falls Blvd
Tonawanda, NY 14150-8431
Phone (716) 833-3792

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303729NYMDAdult Health Nurse Practitioner
F405187-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychiatry of Ny PC CurrentSince Feb 4, 2025 Accepting new patients
Horizon Health Services Inc CurrentSince Feb 2, 2026 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

3020 Bailey Ave
Cheektowaga, NY 14215
Phone (716) 831-0200

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100

5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511

1370 Niagara Falls Blvd
Tonawanda, NY 14150
Phone (716) 833-3708

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1982732301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DODGE RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 NIAGARA FALLS BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508431",
            "telephone_number": "716-831-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EDITH",
        "middle_name": "EUGENIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303729",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405187-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "PICKENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.