ALEXANDRIA COLEMAN WILSON FNP
NPI 1104496850
Nurse Practitioner - Family in San Bernardino, CA

Q: What is Alexandria Wilson's NPI number?

The NPI number for Alexandria Wilson is 1104496850. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Q: What is Alexandria 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 Alexandria Wilson was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 25, 2021PECOS Enrolled

1873 COMMERCENTER W, SAN BERNARDINO, CA 92408(714) 633-6373 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Aug 3, 2021, Jun 25, 2021 (3 updates tracked since 2021).

On this page

About Alexandria Coleman Wilson Fnp NPPES

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

ALEXANDRIA COLEMAN WILSON FNP (NPI 1104496850) is an individual family provider in San Bernardino, California, licensed in California (95017522) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104496850

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXANDRIA COLEMAN WILSONCredential: FNP

Location Address1873 COMMERCENTER WSan Bernardino, CA 92408-3303

Mailing Address801 E Katella AveAnaheim, CA 92805-6614

Phone(714) 633-6373

Sole ProprietorYes

Enumeration DateJune 25, 2021

Last NPPES UpdateMay 24, 20233 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1104496850 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 CA · 95017522

Also ListedRegistered NurseTaxonomy 163W00000X · License 95114862 (CA)

1873 COMMERCENTER W, San Bernardino, CA 92408

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Coleman Wilson Fnp 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 92408 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 14

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

MRS. EVA GUARDADO RN

Registered Nurse