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TSHURA SHANTANA WILSON MS, FNP-BC
NPI 1083588669
Nurse Practitioner - Family in Bronx, NY

Active since October 06, 2025PECOS Enrolled
4003 HILL AVE, BRONX, NY 10466(914) 879-0495 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tshura Shantana Wilson Ms, Fnp-bc NPPES

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

TSHURA SHANTANA WILSON MS, FNP-BC (NPI 1083588669) is an individual family provider in Bronx, New York, licensed in New York (F355995-01) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083588669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTSHURA SHANTANA WILSONCredential: MS, FNP-BC
Location Address4003 HILL AVEBronx, NY 10466-2301
Mailing Address4003 Hill AveBronx, NY 10466-2301
Phone(914) 879-0495
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 5, 2025
✔ NPI 1083588669 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 NY · F355995-01
4003 HILL AVE, Bronx, NY 10466
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tshura Shantana Wilson Ms, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072080845
PECOS Enrollment IDI20260429002502
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 10466 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 2

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

SADIE-ANN BERNARD LPN
Licensed Practical Nurse
4003 HILL AVE, 1ST FLOOR
BRONX, NY 10466
Bronx County (718) 671-2100
STACEY BLOT
Registered Nurse
4003 HILL AVE
BRONX, NY 10466
Bronx County (917) 496-7382

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 Tshura Wilson's NPI number?

The NPI number for Tshura Wilson is 1083588669. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Tshura Wilson located?

Tshura Wilson practices at 4003 Hill Ave, Bronx, NY 10466. The listed phone number is (914) 879-0495.

What is Tshura Wilson's specialty?

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

Is Tshura Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tshura Wilson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.