AMY ELIZABETH WILSON
NPI 1104508027
Nurse Practitioner - Family in New York, NY
About Amy Elizabeth Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY ELIZABETH WILSON (NPI 1104508027) is an individual family provider in New York, New York, licensed in New York (F352460-01) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Elizabeth Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Amy Wilson's NPI number?
The NPI number for Amy Wilson is 1104508027. It was assigned to this individual provider in the NPPES registry on August 1, 2023.
Where is Amy Wilson located?
Amy Wilson practices at 161 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 342-6917.
What is Amy Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Wilson enrolled in Medicare?
Yes. Amy Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wilson reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). The 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 Amy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Wilson was last updated on December 17, 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.
# Amy Elizabeth Wilson · NPI 1104508027
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 1, 2023.
## Identity
- **NPI:** 1104508027 (Entity type: Individual)
- **Enumerated:** August 1, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F352460-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 161 FORT WASHINGTON AVE, New York, NY 10032-3729
- **Phone:** (212) 342-6917
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104508027) · Data from the CMS NPPES public registry.