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AMY ELIZABETH WILSON
NPI 1104508027
Nurse Practitioner - Family in New York, NY

Active since August 01, 2023PECOS Enrolled
161 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 342-6917 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1104508027
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY ELIZABETH WILSON
Location Address161 FORT WASHINGTON AVENew York, NY 10032-3729
Mailing Address3119 33rd St Apt 11Astoria, NY 11106-2013 · (973) 809-9985
Phone(212) 342-6917
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 1, 2023
Last NPPES UpdateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1104508027 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 · F352460-01
161 FORT WASHINGTON AVE, New York, NY 10032
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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)

Amy Elizabeth Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870088081
PECOS Enrollment IDI20251224000882
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 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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

MAUREEN LICURSI CPNP
Nurse Practitioner (Pediatrics)
161 FORT WASHINGTON AVE, 7TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-2466
BARBARA THERESE ROBBINS APRN-BC
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE, ROOM 661
NEW YORK, NY 10032
New York County (212) 342-0886
VARSHA JOHN
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5221
MICHELLE BENGAL PA
Physician Assistant
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (818) 614-2424
DR. NICOLA CORVAJA M.D.
Internal Medicine (Interventional Cardiology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 342-3616
RACHEL CONYBEARE N.P.
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE, HERBERT IRVING PAVILION ROOM # 903
NEW YORK, NY 10032
New York County (212) 305-5275
DR. SUNEETA KRISHNAREDDY MD
Internal Medicine (Gastroenterology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2323
DAVID M WEINER MD
Urology
161 FORT WASHINGTON AVE, 11TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-0114

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.

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 8 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.