MRS. ANDREA NICOLE WILSON CNP
NPI 1891341681
Nurse Practitioner - Family in Jacksonville, FL
About Mrs. Andrea Nicole Wilson Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANDREA NICOLE WILSON CNP (NPI 1891341681) is an individual family provider in Jacksonville, Florida, licensed in Florida (11033233) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Andrea Nicole Wilson Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Andrea Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange Park, FL 32073
- Reassigned Medicare billing, Florida enrollment
- 4 clinicians in this Medicare group
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
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 32214 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32214
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 Andrea Wilson's NPI number?
The NPI number for Andrea Wilson is 1891341681. It was assigned to this individual provider in the NPPES registry on August 16, 2019.
Where is Andrea Wilson located?
Andrea Wilson practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 546-7065.
What is Andrea Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andrea Wilson enrolled in Medicare?
Yes. Andrea Wilson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrea Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Wilson reassigns Medicare benefits to 2 organizations: Neurotech Inc (Orange Park, FL) and Illumia Health LLC (Jacksonville, FL). Each 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 Andrea 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 Andrea Wilson was last updated on September 1, 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.
# Mrs. Andrea Nicole Wilson, CNP · NPI 1891341681
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since August 16, 2019.
## Identity
- **NPI:** 1891341681 (Entity type: Individual)
- **Enumerated:** August 16, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11033233 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2080 CHILD ST, Jacksonville, FL 32214-8716
- **Phone:** (904) 546-7065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Neurotech Inc (NPI 1396828448, Orange Park, FL); Illumia Health LLC (NPI 1972341147, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891341681) · Data from the CMS NPPES public registry.