JUANITA WILSON ANP
NPI 1275818163
Contractor in Saint Louis, MO

Active since October 12, 2011PECOS Enrolled
11155 DUNN RD, SAINT LOUIS, MO 63136(314) 741-1400 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Juanita Wilson Anp NPPES

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

JUANITA WILSON ANP (NPI 1275818163) is an individual contractor provider in Saint Louis, Missouri, licensed in Missouri (2010016002) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275818163
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameJUANITA WILSONCredential: ANP
Location Address11155 DUNN RDSaint Louis, MO 63136-6150
Mailing Address5864 Enright AveSaint Louis, MO 63112-2302
Sole ProprietorNo
Enumeration DateOctober 12, 2011
NPI 1275818163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in MO · 2010016002
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

11155 DUNN RD, Saint Louis, MO 63136

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Juanita Wilson Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Specialist
11155 DUNN RD, SUITE 105N
SAINT LOUIS, MO 63136
Clinical Nurse Specialist
11155 DUNN RD, 108N
SAINT LOUIS, MO 63136
Psychiatry & Neurology (Neurology)
11155 DUNN RD, SUITE 202N
SAINT LOUIS, MO 63136
Legal Medicine
11155 DUNN RD, STE 206E
SAINT LOUIS, MO 63136
Legal Medicine
11155 DUNN RD, STE 206E
SAINT LOUIS, MO 63136
Internal Medicine (Geriatric Medicine)
11155 DUNN RD, STE: 315E
SAINT LOUIS, MO 63136
Urology
11155 DUNN RD, STE 309E
SAINT LOUIS, MO 63136
Internal Medicine
11155 DUNN RD, SUITE 201N
ST LOUIS, MO 63136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275818163, enumerated as an "individual" on October 12, 2011.

The provider is located at 11155 DUNN RD SAINT LOUIS, MO 63136 and the phone number is (314) 741-1400.

Contractor with taxonomy code 171W00000X.