SHIANNA WILSON
NPI 1275399685
Nurse Practitioner - Family in Goodyear, AZ

Q: What is Shianna Wilson's NPI number?

The NPI number for Shianna Wilson is 1275399685. It was assigned to this individual provider in the NPPES registry on February 23, 2024.

Q: What is Shianna Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shianna Wilson was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 23, 2024PECOS EnrolledAccepts Medicare Assignment

13555 W MCDOWELL RD STE 101, GOODYEAR, AZ 85395(623) 935-4700(623) 935-4707 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Shianna Wilson NPPES

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

SHIANNA WILSON (NPI 1275399685) is an individual family provider in Goodyear, Arizona, licensed in Arizona (249111) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scottsdale, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275399685

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHIANNA WILSON

Location Address13555 W MCDOWELL RD STE 101Goodyear, AZ 85395-2625

Mailing Address3815 E Bell Rd Ste 4500Phoenix, AZ 85032-2171 · (602) 633-3848 · Fax (602) 633-3841

Phone(623) 935-4700

Fax(623) 935-4707

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 23, 2024

Last NPPES UpdateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1275399685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 249111

13555 W MCDOWELL RD STE 101, Goodyear, AZ 85395

Open in Google Maps ↗

Secondary Practice Location 1

Location 18541 E Anderson Dr Ste 104Scottsdale, AZ 85255-5430 · Phone (602) 688-2248

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.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

Shianna Wilson 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 ID4082051743

PECOS Enrollment IDI20240318002840

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 Reassignment

Medicare enrollment records show Shianna Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Arizona, LLC

24 mi

Family Medicine

3815 E BELL RD STE 4500
Phoenix, AZ 85032

Reassigned Medicare billing, Arizona enrollment
99 clinicians in this Medicare group

NPI 1760441141 (602) 633-3838

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 3

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.

Injection, inclisiran, 1 mg J1306

Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.

26,980 services94 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

660 services11 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

129 services121 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 5

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

MATTHEW D SWEENEY PA-C

Physician Assistant (Medical)