MR. KERRY THOMAS WILSON JR. APRN
NPI 1871414136
Nurse Practitioner - Family in Louisville, KY
About Mr. Kerry Thomas Wilson Jr. Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KERRY THOMAS WILSON JR. APRN (NPI 1871414136) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4060823) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 (PECOS)
Mr. Kerry Thomas Wilson Jr. Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
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 Kerry Wilson's NPI number?
The NPI number for Kerry Wilson is 1871414136. It was assigned to this individual provider in the NPPES registry on July 23, 2026. The provider is also known as Kerry Thomas Wilson Aprn.
Where is Kerry Wilson located?
Kerry Wilson practices at 100 Mallard Creek Rd Ste 320, Louisville, KY 40207. The listed phone number is (502) 855-6125.
What is Kerry Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kerry Wilson enrolled in Medicare?
Yes. Kerry Wilson is registered in the Medicare PECOS enrollment system.
What insurance does Kerry Wilson accept?
Health plans from Anthem Blue Cross and Blue Shield list Kerry 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 Kerry Wilson was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Kerry Thomas Wilson Jr., APRN · NPI 1871414136
Family physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since July 23, 2026.
## Identity
- **NPI:** 1871414136 (Entity type: Individual)
- **Enumerated:** July 23, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4060823 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MALLARD CREEK RD STE 320, Louisville, KY 40207-5136
- **Phone:** (502) 855-6125 · **Fax:** (502) 394-1972
## 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:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871414136) · Data from the CMS NPPES public registry.