CAROL WILSON APRN
NPI 1194010553
Nurse Practitioner in Port Charlotte, FL

Q: What is Carol Wilson's NPI number?

The NPI number for Carol Wilson is 1194010553. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Q: What is Carol Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carol Wilson was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment

2343 AARON ST, PORT CHARLOTTE, FL 33952(855) 979-5700(855) 979-5701 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Nov 20, 2024, Dec 3, 2020 and 2 more (5 updates tracked since 2017).

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About Carol Wilson Aprn NPPES

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

CAROL WILSON APRN (NPI 1194010553) is an individual nurse practitioner in Port Charlotte, Florida, licensed in Florida (APRN3070982) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1194010553

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCAROL WILSONCredential: APRN

Location Address2343 AARON STPort Charlotte, FL 33952-5305

Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (855) 979-5700 · Fax (855) 979-5701

Phone(855) 979-5700

Fax(855) 979-5701

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 14, 2011

Last NPPES UpdateAugust 18, 20265 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1194010553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in FL · APRN3070982✔ Licensed in IL · 209012655✔ Licensed in NV · 825541

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 825541 (NV)

Also ListedHospitalistTaxonomy 208M00000X · License APRN3070982 (FL)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 825541 (NV), 209012655 (IL)

2343 AARON ST, Port Charlotte, FL 33952

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Secondary Practice Location 1

Location 17061 Grand Montecito PkwyLas Vegas, NV 89149-0287 · Phone (702) 877-5199

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

Carol 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 ID941473748

PECOS Enrollment IDI20220903000406

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 Carol Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health Medical Associates, PLLC

973 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Nevada enrollment
206 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

Optum Medical Group II Rhodes P C

2,044 mi

Internal Medicine

2704 N TENAYA WAY
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
608 clinicians in this Medicare group

NPI 1790329407 (702) 877-5199

Nevada Acute Medical Services-Scherr 1 PC

2,044 mi

Hospitalist

2500 N TENAYA WAY
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
156 clinicians in this Medicare group

NPI 1992244438 (865) 693-1000

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers11 claims11 services$15.11 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers17 claims82 services$1.69 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers21 claims21 services$4.41 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers26 claims26 services$27.97 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers153 claims153 services$195.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARIA LOURDES LAQUIAN APRN

Nurse Practitioner (Gerontology)