LISA WILSON APRN
NPI 1124502018
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
4310 METRO PKWY STE 205, FORT MYERS, FL 33916(239) 322-6478 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2019, Sep 18, 2018 (2 updates tracked since 2018).

About Lisa Wilson Aprn NPPES

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

LISA WILSON APRN (NPI 1124502018) is an individual psychiatric/mental health provider in Fort Myers, Florida, licensed in Tennessee (30004) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Nova Southeastern College Of Osteo Medicine (2018).

NPPES Registry Identity

NPI1124502018
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA WILSONCredential: APRN
Location Address4310 METRO PKWY STE 205Fort Myers, FL 33916-9416
Mailing Address4310 Metro Pkwy Ste 205Fort Myers, FL 33916-9416 · (239) 223-2751 · Fax (239) 561-2933
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2018
Enumeration DateSeptember 18, 2018
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
NPI 1124502018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in TN · 30004 Licensed in FL · 9246110
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9246110 (FL), 9246110 (FL)
4310 METRO PKWY STE 205, Fort Myers, FL 33916

Secondary Practice Locations 3

Location 12721 Del Prado Blvd S Ste 200Cape Coral, FL 33904-5783 · Phone (239) 673-9034
Location 2228 Plaza DrLehigh Acres, FL 33936-6054 · Phone (239) 491-8204
Location 3129 N Locust AveLawrenceburg, TN 38464-3757 · Phone (931) 762-7232 · Fax (931) 762-7234

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 and accepts Medicare assignment

Lisa Wilson Aprn 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 ID4789919168
PECOS Enrollment IDI20230412002173
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 33916 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Social Worker (Clinical)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Nurse Practitioner (Psychiatric/Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Social Worker (Clinical)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Social Worker
4310 METRO PKWY STE 205
FORT MYERS, FL 33916

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 Lisa Wilson's NPI number?

The NPI number for Lisa Wilson is 1124502018. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Lisa Wilson located?

Lisa Wilson practices at 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916. The listed phone number is (239) 322-6478.

What is Lisa Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisa Wilson enrolled in Medicare?

Yes. Lisa 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.

What insurance does Lisa Wilson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Lisa 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 Lisa Wilson was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.