AMBER FORTUNA WILSON
NPI 1922637271
Physician Assistant in Louisville, KY

Q: What is Amber Wilson's NPI number?

The NPI number for Amber Wilson is 1922637271. It was assigned to this individual provider in the NPPES registry on April 7, 2020. The provider is also known as Amber Nicole Fortuna.

Q: What is Amber Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Wilson was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202(502) 629-5552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 16, 2024, Sep 12, 2024, Mar 5, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Amber Fortuna Wilson NPPES

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

AMBER FORTUNA WILSON (NPI 1922637271) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (TC013) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1922637271

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMBER FORTUNA WILSON

Location Address200 E CHESTNUT ST BLDG SUITE303Louisville, KY 40202-1831

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 272-5134 · Fax (502) 272-5339

Phone(502) 629-5552

Fax(502) 629-3132

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 7, 2020

Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1922637271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KY · TC013

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 E CHESTNUT ST BLDG SUITE303, Louisville, KY 40202

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Other Names 1

Former Name (1)Amber Nicole Fortuna

Secondary Practice Location 1

Location 11172 E Broadway Unit 348Louisville, KY 40204-1886 · Phone (865) 201-7921

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Amber Fortuna Wilson 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 ID8527474394

PECOS Enrollment IDI20210303001545

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.

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

DR. UCHENNA LORETTA OZOR M.D

Internal Medicine