ANDY WILSON ARNP
NPI 1023366887
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Andy Wilson's NPI number?

The NPI number for Andy Wilson is 1023366887. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Q: What is Andy Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Andy Wilson was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2012PECOS EnrolledAccepts Medicare Assignment

1375 ROBERTS DR, SUITE 205, JACKSONVILLE, FL 32250(904) 389-1010(904) 389-1082 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Andy Wilson Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDY WILSON ARNP (NPI 1023366887) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9225092) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023366887

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameANDY WILSONCredential: ARNP

Location Address1375 ROBERTS DR, SUITE 205Jacksonville, FL 32250-3210

Mailing Address6195 Lake Gray Blvd, Suite 4Jacksonville, FL 32244-5891 · (904) 389-1010 · Fax (904) 389-1082

Phone(904) 389-1010

Fax(904) 389-1082

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 27, 2012

Last NPPES UpdateFebruary 28, 2017

✔ NPI 1023366887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9225092

1375 ROBERTS DR, Jacksonville, FL 32250

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andy Wilson Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193966380

PECOS Enrollment IDI20130801000177

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andy Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Spine & Pain Physicians, LLC

18 mi

Specialist

7207 GOLDEN WINGS RD STE 100
Jacksonville, FL 32244

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1639208648 (904) 389-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

812 services252 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

96 services80 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier37 claims37 services$72.70 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANCER SPECIALISTS LLC

Internal Medicine (Hematology & Oncology)

1375 ROBERTS DR, SUITE 103
JACKSONVILLE, FL 32250

Duval County (904) 997-3800

DR. MICHAEL B IBACH M.D.

Internal Medicine (Gastroenterology)

1375 ROBERTS DR, STE 204
JACKSONVILLE BEACH, FL 32250

Duval County (904) 247-0056

MS. MICHELLE M KRAWCZYK ARNP

Nurse Practitioner (Adult Health)

1375 ROBERTS DR, SUITE 103
JACKSONVILLE BEACH, FL 32250

Duval County (904) 997-3800

MS. SHIRLEY LYNN FABRIZIO ARNP

Nurse Practitioner

1375 ROBERTS DR, SUITE 103
JACKSONVILLE BEACH, FL 32250

Duval County (904) 997-3800

JEFFREY S HOFFMAN MD

Internal Medicine (Gastroenterology)

1375 ROBERTS DR, SUITE 204
JACKSONVILLE, FL 32250

Duval County (904) 247-0056

DR. THOMAS G GADDIS MD

Internal Medicine (Hematology & Oncology)

1375 ROBERTS DR, SUITE 103
JACKSONVILLE BEACH, FL 32250

Duval County (904) 997-3800

DR. JOE E GERGES EL KHOURY M.D.

Internal Medicine (Gastroenterology)

1375 ROBERTS DR, SUITE 204
JACKSONVILLE BEACH, FL 32250

Duval County (904) 247-0056

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC

Internal Medicine (Hematology & Oncology)

1375 ROBERTS DR, STE 103
JACKSONVILLE BEACH, FL 32250

Duval County (904) 997-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andy Wilson's NPI number?

The NPI number for Andy Wilson is 1023366887. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Where is Andy Wilson located?

Andy Wilson practices at 1375 Roberts Dr Suite 205, Jacksonville, FL 32250. The listed phone number is (904) 389-1010.

What is Andy Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andy Wilson enrolled in Medicare?

Yes. Andy Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andy Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andy Wilson reassigns Medicare benefits to Riverside Spine & Pain Physicians, LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andy Wilson affiliated with any hospitals?

According to CMS data, Andy Wilson is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Andy Wilson was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.