MRS. FORRELINE GRIGSBY WILSON FNP-C
NPI 1053841759
Nurse Practitioner - Family in Burbank, CA
About Mrs. Forreline Grigsby Wilson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. FORRELINE GRIGSBY WILSON FNP-C (NPI 1053841759) is an individual family provider in Burbank, California, licensed in California (95006243) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Forreline Grigsby Wilson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BURBANK, CA 91505
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 Forreline Wilson's NPI number?
The NPI number for Forreline Wilson is 1053841759. It was assigned to this individual provider in the NPPES registry on June 14, 2017.
Where is Forreline Wilson located?
Forreline Wilson practices at 511 N Hollywood Way, Burbank, CA 91505. The listed phone number is (866) 389-2727.
What is Forreline Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Forreline Wilson enrolled in Medicare?
Yes. Forreline Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Forreline Wilson was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Forreline Grigsby Wilson, FNP-C · NPI 1053841759
Family physician in Burbank, California. Individual provider, active in the CMS NPPES registry since June 14, 2017.
## Identity
- **NPI:** 1053841759 (Entity type: Individual)
- **Enumerated:** June 14, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95006243 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 511 N HOLLYWOOD WAY, Burbank, CA 91505-3406
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053841759) · Data from the CMS NPPES public registry.