JUANITA WILSON ANP
NPI 1275818163
Contractor in Saint Louis, MO

Q: What is Juanita Wilson's NPI number?

The NPI number for Juanita Wilson is 1275818163. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Q: What is Juanita Wilson's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

Q: When was this NPI record last updated?

The NPPES record for Juanita Wilson was last updated on October 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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.

On this page

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

Phone(314) 741-1400

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

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 (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.