HOLLY WILSON APRN
NPI 1093259210
Nurse Practitioner - Family in Clearwater, FL

Active since December 07, 2016PECOS EnrolledAccepts Medicare Assignment
2112 SUNNYDALE BLVD STE B, CLEARWATER, FL 33765(727) 796-2904 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2021, Jul 2, 2021 (2 updates tracked since 2021).

About Holly Wilson Aprn NPPES

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

HOLLY WILSON APRN (NPI 1093259210) is an individual family provider in Clearwater, Florida, licensed in Florida (APRN11014047) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093259210
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY WILSONCredential: APRN
Location Address2112 SUNNYDALE BLVD STE BClearwater, FL 33765-1207
Mailing Address2112 Sunnydale Blvd Ste BClearwater, FL 33765-1207
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 7, 2016
Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
✔ NPI 1093259210 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 FL · APRN11014047
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9446932 (FL)
2112 SUNNYDALE BLVD STE B, Clearwater, FL 33765

Secondary Practice Locations 3

Location 11120 Belcher Rd SLargo, FL 33771-3315 · Phone (727) 826-0838
Location 2300 Pinellas StClearwater, FL 33756-3804 · Phone (727) 462-7000
Location 34895 E Bay Dr Unit 120Clearwater, FL 33764-6878 · Phone (727) 330-3988

Accepted Insurance

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

Holly Wilson Aprn 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 ID3577967264
PECOS Enrollment IDI20210803000610
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 Reassignments

6

Medicare enrollment records show Holly Wilson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
7601 SEMINOLE BLVD
Seminole, FL 33772
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group
Urgent Care
311 SOUTH AVALON PARK BLVD
Orlando, FL 32828
  • Reassigned Medicare billing, Florida enrollment
  • 133 clinicians in this Medicare group
Urgent Care
1820 58TH AVE., UNIT 110
Vero Beach, FL 32966
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
Urgent Care
151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group
Urgent Care
8756 BOYNTON BEACH BLVD, SUITE 150
Boynton Beach, FL 33472
  • Reassigned Medicare billing, Florida enrollment
  • 83 clinicians in this Medicare group
Urgent Care
1205 N UNIVERSITY DR
Coral Springs, FL 33071
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group

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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
21 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33765 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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
2112 SUNNYDALE BLVD STE B
CLEARWATER, FL 33765
Nurse Practitioner
2112 SUNNYDALE BLVD STE B
CLEARWATER, FL 33765
Nurse Practitioner (Family)
2112 SUNNYDALE BLVD STE B
CLEARWATER, FL 33765

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 Holly Wilson's NPI number?

The NPI number for Holly Wilson is 1093259210. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Holly Wilson located?

Holly Wilson practices at 2112 Sunnydale Blvd Ste B, Clearwater, FL 33765. The listed phone number is (727) 796-2904.

What is Holly Wilson's specialty?

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

Is Holly Wilson enrolled in Medicare?

Yes. Holly 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 organizations bill Medicare for Holly Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Wilson reassigns Medicare benefits to 6 organizations: Synergic Healthcare Solutions LLC (Seminole, FL), Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL), Hma/Solantic Joint Venture, LLC (Vero Beach, FL), Solantic Of Jacksonville, LLC (Ponte Vedra, FL), West Boynton Urgent Care, LLC (Boynton Beach, FL) and 1 more organization, listed in the Medicare section above. Each 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 Holly Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Wilson accept?

Health plans from Oscar Health Maintenance Organization of Florida list Holly Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Wilson was last updated on November 30, 2023. 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.