MRS. OLIVIA DAWN WILSON DNP, APRN, CPNP-PC
NPI 1073131850
Nurse Practitioner - Pediatrics in Tampa, FL

Q: What is Olivia Wilson's NPI number?

The NPI number for Olivia Wilson is 1073131850. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Q: What is Olivia Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Wilson was last updated on April 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2020PECOS Enrolled

4620 N 22ND ST, TAMPA, FL 33610(813) 360-4025 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Olivia Dawn Wilson Dnp, Aprn, Cpnp-pc NPPES

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

MRS. OLIVIA DAWN WILSON DNP, APRN, CPNP-PC (NPI 1073131850) is an individual pediatrics provider in Tampa, Florida, licensed in Florida (APRN11007929) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1073131850

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. OLIVIA DAWN WILSONCredential: DNP, APRN, CPNP-PC

Location Address4620 N 22ND STTampa, FL 33610-6205

Mailing AddressPo Box 82969Tampa, FL 33682-2969 · (813) 866-0930

Phone(813) 360-4025

Sole ProprietorYes

Enumeration DateJuly 8, 2020

Last NPPES UpdateApril 21, 2023

NPPES CertifiedAugust 31, 2021

✔ NPI 1073131850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN11007929

4620 N 22ND ST, Tampa, FL 33610

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Secondary Practice Location 1

Location 1302 W Fletcher AveTampa, FL 33612-3415 · Phone (813) 360-4025

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and more.Insurance ›

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. Olivia Dawn Wilson Dnp, Aprn, Cpnp-pc 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 33610 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.

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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.

TAMPA FAMILY HEALTH CENTERS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))