BROOKLYN DALLAS WILSON NP
NPI 1831975879
Nurse Practitioner - Family in Savannah, GA

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment
11909 MCAULEY DR STE 100A2, SAVANNAH, GA 31419(912) 354-8331(912) 352-9782 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Sep 6, 2023 (2 updates tracked since 2023).

About Brooklyn Dallas Wilson Np NPPES

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

BROOKLYN DALLAS WILSON NP (NPI 1831975879) is an individual family provider in Savannah, Georgia, licensed in Georgia (RN293708) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital - Savannah, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831975879
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBROOKLYN DALLAS WILSONCredential: NP
Location Address11909 MCAULEY DR STE 100A2Savannah, GA 31419-1793
Mailing Address129 Arusha AveSavannah, GA 31419-3194 · (713) 294-9632
Fax(912) 352-9782
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 6, 2023
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
NPI 1831975879 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 GA · RN293708
11909 MCAULEY DR STE 100A2, Savannah, GA 31419

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

Brooklyn Dallas Wilson Np 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 ID8527418474
PECOS Enrollment IDI20231219002005
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 2

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.
86 services66 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.
71 services52 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31419 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

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

Physician Assistant (Surgical)
11909 MCAULEY DR STE 100A2
SAVANNAH, GA 31419

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 Brooklyn Wilson's NPI number?

The NPI number for Brooklyn Wilson is 1831975879. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Brooklyn Wilson located?

Brooklyn Wilson practices at 11909 Mcauley Dr Ste 100a2, Savannah, GA 31419. The listed phone number is (912) 354-8331.

What is Brooklyn Wilson's specialty?

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

Is Brooklyn Wilson enrolled in Medicare?

Yes. Brooklyn 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 Brooklyn Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Brooklyn 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.

Is Brooklyn Wilson affiliated with any hospitals?

According to CMS data, Brooklyn Wilson is affiliated with St Joseph's Hospital - Savannah.

When was this NPI record last updated?

The NPPES record for Brooklyn Wilson was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.