MR. JAMIE WILSON IV APRN
NPI 1104557206
Nurse Practitioner - Adult Health in St Petersburg, FL

Active since June 20, 2022PECOS Enrolled
1839 CENTRAL AVENUE, ST PETERSBURG, FL 33713(727) 322-1054(727) 821-7213 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jamie Wilson Iv Aprn NPPES

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

MR. JAMIE WILSON IV APRN (NPI 1104557206) is an individual adult health provider in St Petersburg, Florida, licensed in Florida (APRN11020316) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104557206
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. JAMIE WILSON IVCredential: APRN
Location Address1839 CENTRAL AVENUESt Petersburg, FL 33713-8900
Mailing Address1839 Central AvenueSt Petersburg, FL 33713-8900 · (727) 322-1054 · Fax (727) 821-7213
Fax(727) 821-7213
Sole ProprietorYes
Enumeration DateJune 20, 2022
Last NPPES UpdateMay 24, 2024
NPPES CertifiedDecember 11, 2023
NPI 1104557206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · APRN11020316
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11020316 (FL)
1839 CENTRAL AVENUE, St Petersburg, FL 33713

Other Names 1

Other Name (5)Jamie Wilson Aprn

Other Identifiers 2

Medicaid119817600FL
OtherJXSUEFL · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jamie Wilson Iv Aprn 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.

Areas of Expertise CMS Part B claims

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
99 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33713 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 8

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

Nurse Practitioner (Family)
1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713
Nurse Practitioner (Family)
1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713
Physician Assistant
1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713
Nurse Practitioner (Gerontology)
1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713
Nurse Practitioner (Adult Health)
1839 CENTRAL AVENUE
ST. PETERSBURG, FL 33713
Nurse Practitioner (Family)
1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713
Physician Assistant
1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713
Emergency Medicine
1839 CENTRAL AVENUE
ST. PETERSBURG, FL 33713

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 Jamie Wilson's NPI number?

The NPI number for Jamie Wilson is 1104557206. It was assigned to this individual provider in the NPPES registry on June 20, 2022. The provider is also known as Jamie Wilson Aprn.

Where is Jamie Wilson located?

Jamie Wilson practices at 1839 Central Avenue, St Petersburg, FL 33713. The listed phone number is (727) 322-1054.

What is Jamie Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jamie Wilson enrolled in Medicare?

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

What insurance does Jamie Wilson accept?

Health plans from AvMed list Jamie 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 Jamie Wilson was last updated on May 24, 2024. 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.