JUSTIN WILSON CRNP
NPI 1417420704
Nurse Practitioner - Family in Cullman, AL

Active since January 09, 2019PECOS EnrolledAccepts Medicare Assignment
408 CLARK ST NE, CULLMAN, AL 35055(256) 734-3202(256) 962-5236 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2026, Dec 31, 2025, Dec 10, 2020 and 6 more (9 updates tracked since 2019).

About Justin Wilson Crnp NPPES

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

JUSTIN WILSON CRNP (NPI 1417420704) is an individual family provider in Cullman, Alabama, licensed in Alabama (1-133787) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417420704
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN WILSONCredential: CRNP
Location Address408 CLARK ST NECullman, AL 35055-1953
Mailing AddressPo Box 2895Cullman, AL 35056-2895 · (256) 735-5044 · Fax (256) 801-7626
Fax(256) 962-5236
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 9, 2019
Last NPPES UpdateFebruary 3, 20269 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1417420704 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 · 1-133787
408 CLARK ST NE, Cullman, AL 35055

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Wilson Crnp 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 ID4880933498
PECOS Enrollment IDI20190226002175
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.

Areas of Expertise CMS Part B claims 28

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
404 services180 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
159 services121 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.
130 services53 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
128 services31 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
121 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35055 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 13

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

Nurse Practitioner (Family)
408 CLARK ST NE
CULLMAN, AL 35055
Registered Nurse (General Practice)
408 CLARK ST NE
CULLMAN, AL 35055
Family Medicine
408 CLARK ST NE
CULLMAN, AL 35055
Nurse Practitioner (Family)
408 CLARK ST NE
CULLMAN, AL 35055
Family Medicine
408 CLARK ST NE
CULLMAN, AL 35055
Family Medicine
408 CLARK ST NE
CULLMAN, AL 35055
Family Medicine
408 CLARK ST NE
CULLMAN, AL 35055
Nurse Practitioner (Family)
408 CLARK ST NE
CULLMAN, AL 35055

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 Justin Wilson's NPI number?

The NPI number for Justin Wilson is 1417420704. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Where is Justin Wilson located?

Justin Wilson practices at 408 Clark St NE, Cullman, AL 35055. The listed phone number is (256) 734-3202.

What is Justin Wilson's specialty?

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

Is Justin Wilson enrolled in Medicare?

Yes. Justin Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Wilson accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Justin Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Wilson was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.