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MS. JAVDA MIASHA WILSON FNP
NPI 1124459730
Nurse Practitioner in Florissant, MO

Active since December 06, 2013PECOS EnrolledAccepts Medicare Assignment
1225 GRAHAM RD, DEPT EMERGENCY MEDICINE, FLORISSANT, MO 63031(314) 362-9123(314) 747-9160 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Javda Miasha Wilson Fnp NPPES

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

MS. JAVDA MIASHA WILSON FNP (NPI 1124459730) is an individual nurse practitioner in Florissant, Missouri, licensed in Missouri (2013043631) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Christian Hospital Northeast, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124459730
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. JAVDA MIASHA WILSONCredential: FNP
Location Address1225 GRAHAM RD, DEPT EMERGENCY MEDICINEFlorissant, MO 63031-8012
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-9123 · Fax (314) 747-9160
Phone(314) 362-9123
Fax(314) 747-9160
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 6, 2013
Last NPPES UpdateJuly 14, 2025
✔ NPI 1124459730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2013043631
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1225 GRAHAM RD, Florissant, MO 63031
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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 and accepts Medicare assignment

Ms. Javda Miasha Wilson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274752415
PECOS Enrollment IDI20140919001411
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services42 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
35 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63031 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

MS. LAURA M GRAMOLINO FNP-C
Nurse Practitioner (Family)
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6994
REBECCA V RUGEN
Internal Medicine
1225 GRAHAM RD, STE 2320C
FLORISSANT, MO 63031
St. Louis County (314) 953-6801
PHYSICIAN GROUPS LC
Clinic/Center (Primary Care)
1225 GRAHAM RD, SUITE 220
FLORISSANT, MO 63031
St. Louis County (314) 838-6700
MAURICE EDWARD JONES
Community Health Worker
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 206-3900
LISA KEATING BURRIS PA
Student in an Organized Health Care Education/Training Program
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6000
MS. ALISSA LEIGH STRUBLE FNP
Nurse Practitioner
1225 GRAHAM RD, DEPT EMERGENCY MEDICINE
FLORISSANT, MO 63031
St. Louis County (314) 362-9123
DORIS J TRIBUNE BROWN DO
Family Medicine
1225 GRAHAM RD, SUITE 2320C
FLORISSANT, MO 63031
St. Louis County (314) 831-6883
MR. BLAKE FREDERICK BUEHRER PA
Physician Assistant
1225 GRAHAM RD, DEPT EMERGENCY MEDICINE
FLORISSANT, MO 63031
St. Louis County (314) 362-9123

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 Javda Wilson's NPI number?

The NPI number for Javda Wilson is 1124459730. It was assigned to this individual provider in the NPPES registry on December 6, 2013.

Where is Javda Wilson located?

Javda Wilson practices at 1225 Graham Rd Dept Emergency Medicine, Florissant, MO 63031. The listed phone number is (314) 362-9123.

What is Javda Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Javda Wilson enrolled in Medicare?

Yes. Javda Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Javda Wilson affiliated with any hospitals?

According to CMS data, Javda Wilson is affiliated with Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Javda Wilson was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.