ABBY JAN WILSON FNP-BC, RD, CDCES
NPI 1033544580
Nurse Practitioner - Family in Blackfoot, ID

Q: What is Abby Wilson's NPI number?

The NPI number for Abby Wilson is 1033544580. It was assigned to this individual provider in the NPPES registry on September 3, 2013. The provider is also known as Abby Jan Gustaveson Fnp-Cnp, Rn, Rd, Ld.

Q: What is Abby 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 Abby Wilson was last updated on May 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 03, 2013PECOS Enrolled

98 POPLAR ST, BLACKFOOT, ID 83221(208) 785-4100 Get Directions Write a Review

NPPES record last updated: May 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2026, Oct 9, 2018, Feb 11, 2016 (3 updates tracked since 2016).

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About Abby Jan Wilson Fnp-bc, Rd, Cdces NPPES

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

ABBY JAN WILSON FNP-BC, RD, CDCES (NPI 1033544580) is an individual family provider in Blackfoot, Idaho, licensed in Idaho (3771381) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033544580

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameABBY JAN WILSONCredential: FNP-BC, RD, CDCES

Location Address98 POPLAR STBlackfoot, ID 83221-1758

Mailing Address98 Poplar StBlackfoot, ID 83221-1758

Phone(208) 785-4100

Sole ProprietorNo

Enumeration DateSeptember 3, 2013

Last NPPES UpdateMay 24, 20263 updates tracked since enumeration

NPPES CertifiedMay 24, 2026

✔ NPI 1033544580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in ID · 3771381

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License D-795 (ID)

98 POPLAR ST, Blackfoot, ID 83221

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Other Names 1

Former Name (1)Abby Jan Gustaveson Fnp-cnp, Rn, Rd, Ld

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abby Jan Wilson Fnp-bc, Rd, Cdces is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

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Other Providers at the Same Location NPPES 20

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

BEVERLY HANSON PA

Physician Assistant (Surgical)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 782-3993

DAN EARL ROBINSON D.P.M.

Podiatrist (Foot & Ankle Surgery)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 690-0394

AMANDA WRAY RPH

Pharmacist

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 782-2990

SAMANTHA HRABIK FNP-C

Nurse Practitioner (Family)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 251-2408

DR. JASON CHRISTOPHER BELL D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-5801

MS. SUZANNE GODFREY LCPC, NCC

Counselor

98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221

Bingham County (208) 785-3800

SCOTT RYAN MANGUM PA-C

Physician Assistant (Medical)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-4100

BINGHAM MEMORIAL HOSPITAL

Medicare Defined Swing Bed Unit

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-4100

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 Abby Wilson's NPI number?

The NPI number for Abby Wilson is 1033544580. It was assigned to this individual provider in the NPPES registry on September 3, 2013. The provider is also known as Abby Jan Gustaveson Fnp-Cnp, Rn, Rd, Ld.

Where is Abby Wilson located?

Abby Wilson practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-4100.

What is Abby Wilson's specialty?

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

Is Abby Wilson enrolled in Medicare?

Yes. Abby Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abby Wilson was last updated on May 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.