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

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: October 18, 2026.

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
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN102I508386AL
Other511-00428AL · Bcbs Of Alabama
Medicaid115069/1336474964AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Slcm LLC
1.4 mi
Family Medicine
4310 WATERMELON RD
Northport, AL 35473
  • Reassigned Medicare billing, Alabama enrollment
  • 10 clinicians in this Medicare group
NPI 1336474964 (205) 330-5266

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Which organization bills Medicare for Kimberly Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wilson reassigns Medicare benefits to Slcm LLC (Northport, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Wilson was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.