MRS. KIMBERLY ELLISON WILSON CRNP
NPI 1285826057
Nurse Practitioner - Family in Northport, AL

Q: What is Kimberly Wilson's NPI number?

The NPI number for Kimberly Wilson is 1285826057. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Q: What is Kimberly 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 Kimberly Wilson was last updated on September 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2007PECOS Enrolled

1325 MCFARLAND BLVD, SUITE 104, NORTHPORT, AL 35476(205) 330-5266(205) 330-9915 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kimberly Ellison Wilson Crnp NPPES

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

MRS. KIMBERLY ELLISON WILSON CRNP (NPI 1285826057) is an individual family provider in Northport, Alabama, licensed in Alabama (1-078924) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285826057

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KIMBERLY ELLISON WILSONCredential: CRNP

Location Address1325 MCFARLAND BLVD, SUITE 104Northport, AL 35476-3270

Mailing Address1325 Mcfarland Blvd, Suite 104Northport, AL 35476-3270 · (205) 330-5266 · Fax (205) 330-9915

Phone(205) 330-5266

Fax(205) 330-9915

Sole ProprietorNo

Enumeration DateAugust 15, 2007

Last NPPES UpdateSeptember 25, 2012

✔ NPI 1285826057 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 AL · 1-078924

1325 MCFARLAND BLVD, Northport, AL 35476

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Other Identifiers 3

Medicare PIN102I508386AL

Other511-00428AL · Bcbs Of Alabama

Medicaid115069/1336474964AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Ellison Wilson Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35476 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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Other Providers at the Same Location NPPES 16

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

NEUROLOGY CLINIC, P.C.

Specialist

1325 MCFARLAND BLVD, SUITE 201
NORTHPORT, AL 35476

Tuscaloosa County (205) 333-2626

SARAH CLOS ATC

Specialist/Technologist (Athletic Trainer)

1325 MCFARLAND BLVD
NORTHPORT, AL 35476

Tuscaloosa County (205) 333-4778

WEST ALABAMA RESEARCH, INC.

Specialist (Research Study)

1325 MCFARLAND BLVD, SUITE 103
NORTHPORT, AL 35476

Tuscaloosa County (205) 333-9048

STEVEN COPPOCK M.D.

Family Medicine

1325 MCFARLAND BLVD, STE 104
NORTHPORT, AL 35476

Tuscaloosa County (205) 348-1770

AMY LEE WAMBOLT M.D.

Student in an Organized Health Care Education/Training Program

1325 MCFARLAND BLVD, SUITE 102
NORTHPORT, AL 35476

Tuscaloosa County (205) 348-6700

MRS. LISA BRASHIER NP

Nurse Practitioner (Family)

1325 MCFARLAND BLVD, SUITE 102
NORTHPORT, AL 35476

Tuscaloosa County (205) 348-6700

JOHN OTIS WAITS M.D.

Surgery

1325 MCFARLAND BLVD
NORTHPORT, AL 35476

Tuscaloosa County (205) 926-2992

MR. KYLE DAVID ADAMS ATC

Specialist/Technologist (Athletic Trainer)

1325 MCFARLAND BLVD
NORTHPORT, AL 35476

Tuscaloosa County (205) 333-4766

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 Kimberly Wilson's NPI number?

The NPI number for Kimberly Wilson is 1285826057. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Kimberly Wilson located?

Kimberly Wilson practices at 1325 Mcfarland Blvd Suite 104, Northport, AL 35476. The listed phone number is (205) 330-5266.

What is Kimberly Wilson's specialty?

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

Is Kimberly Wilson enrolled in Medicare?

Yes. Kimberly Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Wilson was last updated on September 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.