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

Q: 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.

Q: What is Jamie Wilson's specialty?

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

Q: 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.

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: October 25, 2026.

On this page

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

Phone(727) 322-1054

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

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Other Names 1

Other Name (5)Jamie Wilson Aprn

Other Identifiers 2

Medicaid119817600FL

OtherJXSUEFL · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jamie Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Health Care Of Pinellas LLC

Same address

Internal Medicine

1839 CENTRAL AVE
St Petersburg, FL 33713

Reassigned Medicare billing, Florida enrollment
220 clinicians in this Medicare group

NPI 1881647253 (727) 322-1054

Comprehensive Hospital Physicians Of Florida Inc

619 mi

Internal Medicine

120 BRENTWOOD COMMONS WAY STE 510
Brentwood, TN 37027

Reassigned Medicare billing, Florida enrollment
23 clinicians in this Medicare group

NPI 1245960681 (615) 371-5741

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

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.

JONESIA BERNICE WILLIAMS APRN

Nurse Practitioner (Family)

1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713

Pinellas County (727) 322-1054

MISS SHAWNTAE N MUNN APRN

Nurse Practitioner (Family)

1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713

Pinellas County (727) 322-1054

DEREK ANTHONY BEDAMI PA-C

Physician Assistant

1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713

Pinellas County (727) 322-1054

DEJA MANDY APRN

Nurse Practitioner (Gerontology)

1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713

Pinellas County (727) 322-1054

MRS. THERESE M. HULME ARNP

Nurse Practitioner (Adult Health)

1839 CENTRAL AVENUE
ST. PETERSBURG, FL 33713

Pinellas County (727) 322-1054

MRS. KELLI CHARLENE MCCRAY APRN

Nurse Practitioner (Family)

1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713

Pinellas County (727) 322-1054

ALIYA CHRISTINE MAY PA-C

Physician Assistant

1839 CENTRAL AVENUE
ST PETERSBURG, FL 33713

Pinellas County (727) 322-1054

MIRCEA GEORGE CRISTESCU MD

Emergency Medicine

1839 CENTRAL AVENUE
ST. PETERSBURG, FL 33713

Pinellas County (727) 322-1054

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.

Which organizations bill Medicare for Jamie Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Wilson reassigns Medicare benefits to 2 organizations: Professional Health Care Of Pinellas LLC (St Petersburg, FL) and Comprehensive Hospital Physicians Of Florida Inc (Brentwood, TN). 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 Jamie 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 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.