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DESTINY WILSON APRN
NPI 1265976039
Nurse Practitioner - Adult Health in Sparta, IL

Active since December 13, 2016PECOS EnrolledAccepts Medicare Assignment
1300 N MARKET ST, SPARTA, IL 62286(618) 443-1337(618) 443-3327 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Jun 4, 2020, Dec 13, 2016 (3 updates tracked since 2016).

About Destiny Wilson Aprn NPPES

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

DESTINY WILSON APRN (NPI 1265976039) is an individual adult health provider in Sparta, Illinois, licensed in Illinois (209015177) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Sparta Community Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265976039
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDESTINY WILSONCredential: APRN
Location Address1300 N MARKET STSparta, IL 62286-1048
Mailing Address1300 N Market StSparta, IL 62286-1048 · (618) 443-1337 · Fax (618) 443-3327
Phone(618) 443-1337
Fax(618) 443-3327
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 13, 2016
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1265976039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209015177
1300 N MARKET ST, Sparta, IL 62286
Open in Google Maps ↗

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

Destiny 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 ID7911289251
PECOS Enrollment IDI20170123001593
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.

Hospital Affiliations CMS Care Compare

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

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62286 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXWELL MARTIN HAYDEN DPM
Podiatrist
1300 N MARKET ST
SPARTA, IL 62286
Randolph County (618) 443-4138
MRS. AMY LYNN KOUDELKA
Physical Therapist
1300 N MARKET ST
SPARTA, IL 62286
Randolph County (618) 443-2177
CAYLEE DAWN FRANKLIN PA-C
Physician Assistant
1300 N MARKET ST
SPARTA, IL 62286
Randolph County (618) 443-4138
DAVID TAEWOONG CHUNG MD
Family Medicine
1300 N MARKET ST
SPARTA, IL 62286
Randolph County (618) 443-4138
ALISA D DEARMOND APRN
Nurse Practitioner (Family)
1300 N MARKET ST
SPARTA, IL 62286
Randolph County (618) 443-4138
DR. SCOTT I BARCLAY M.D.
Family Medicine
1300 N MARKET ST
SPARTA, IL 62286
Randolph County (618) 443-1337
ASHLEY RENEE FRIEDERICH APRN
Nurse Practitioner
1300 N MARKET ST
SPARTA, IL 62286
Randolph County (618) 443-2177
NICKIE MURPHY APRN
Nurse Practitioner (Family)
1300 N MARKET ST
SPARTA, IL 62286
Randolph County (618) 443-1337

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 Destiny Wilson's NPI number?

The NPI number for Destiny Wilson is 1265976039. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Destiny Wilson located?

Destiny Wilson practices at 1300 N Market St, Sparta, IL 62286. The listed phone number is (618) 443-1337.

What is Destiny Wilson's specialty?

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

Is Destiny Wilson enrolled in Medicare?

Yes. Destiny 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 Destiny Wilson affiliated with any hospitals?

According to CMS data, Destiny Wilson is affiliated with Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Destiny Wilson was last updated on May 29, 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.