LISA WILSON APRN
NPI 1124502018
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL
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 Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Lisa Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hoover, AL 35216
- Reassigned Medicare billing, Arkansas, Indiana and Tennessee enrollments
- 55 clinicians in this Medicare group
Cookeville, TN 38501
- Reassigned Medicare billing, Tennessee enrollment
- 19 clinicians in this Medicare group
Spring Hill, TN 37174
- Reassigned Medicare billing, Tennessee and Indiana enrollments
- Also billed through NPI 1649770769 (Indiana)
- 985 clinicians in this Medicare group
Greenbriar, AR 72058
- Reassigned Medicare billing, Arkansas enrollment
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Lisa Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wilson reassigns Medicare benefits to 4 organizations: Upperline Healthcare, PC (Hoover, AL), Cookeville Medical Center PC (Cookeville, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Fast Pace Mississippi, PLLC (Greenbriar, AR). 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 Lisa Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Wilson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Alabama and 10 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 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.
# Lisa Wilson, APRN · NPI 1124502018
Psychiatric/Mental Health physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since September 18, 2018.
## Identity
- **NPI:** 1124502018 (Entity type: Individual)
- **Enumerated:** September 18, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 30004 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 4310 METRO PKWY STE 205, Fort Myers, FL 33916-9416
- **Phone:** (239) 322-6478
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Upperline Healthcare, PC (NPI 1538686498, Hoover, AL); Cookeville Medical Center PC (NPI 1013055912, Cookeville, TN); Fast Pace Medical Clinic PLLC (NPI 1134452865, Spring Hill, TN); Fast Pace Mississippi, PLLC (NPI 1982361259, Greenbriar, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124502018) · Data from the CMS NPPES public registry.