BROOKE WILSON
NPI 1417751231
Student in an Organized Health Care Education/Training Program in Jacksonville, FL
About Brooke Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE WILSON (NPI 1417751231) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brooke Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
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 Brooke Wilson's NPI number?
The NPI number for Brooke Wilson is 1417751231. It was assigned to this individual provider in the NPPES registry on April 2, 2025.
Where is Brooke Wilson located?
Brooke Wilson practices at 653 W 8th St # L18, Jacksonville, FL 32209. The listed phone number is (904) 244-3094.
What is Brooke Wilson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Brooke Wilson enrolled in Medicare?
Yes. Brooke Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brooke Wilson was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Brooke Wilson · NPI 1417751231
Student in an Organized Health Care Education/Training Program provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since April 2, 2025.
## Identity
- **NPI:** 1417751231 (Entity type: Individual)
- **Enumerated:** April 2, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 653 W 8TH ST # L18, Jacksonville, FL 32209-6511
- **Phone:** (904) 244-3094
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417751231) · Data from the CMS NPPES public registry.