Holly Wilson, APRN - Medicare Nurse Practitioner in Clearwater, FL

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Holly Wilson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Clearwater, Florida. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carespot Of Orlando Hsi Urgent Care Llc and her current practice location is 2112 Sunnydale Blvd Ste B, Clearwater, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 796-2904.

Holly Wilson is licensed to practice in Florida (license number APRN11014047) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093259210.

Contact Information

Holly Wilson, APRN
2112 Sunnydale Blvd Ste B,
Clearwater, FL 33765-1207
(727) 796-2904
Not Available

Map and Direction




Provider's Profile

Full NameHolly Wilson
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location2112 Sunnydale Blvd Ste B, Clearwater, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Wilson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1093259210
  • Provider Enumeration Date: 12/07/2016
  • Last Update Date: 11/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577967264
  • Enrollment ID: I20210803000610

Medical Identifiers

Medical identifiers for Holly Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093259210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9446932 (Florida)Secondary
363LF0000XNurse Practitioner - Family APRN11014047 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carespot Of Orlando Hsi Urgent Care Llc892137255858

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Holly Wilson allows following entities to bill medicare on her behalf.
Entity NameSolantic/south Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344378
PECOS PAC ID: 5496762171
Enrollment ID: O20060321000740
Entity NameSolantic Of Jacksonville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407893100
PECOS PAC ID: 1052409307
Enrollment ID: O20071120000271
Entity NameHma-solantic Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689812109
PECOS PAC ID: 6002955788
Enrollment ID: O20091209000716
Entity NameWest Boynton Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003172628
PECOS PAC ID: 0941456537
Enrollment ID: O20120815000049
Entity NameCarespot Of Orlando Hsi Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306367503
PECOS PAC ID: 8921372558
Enrollment ID: O20170921000186
Entity NameSynergic Healthcare Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718013
PECOS PAC ID: 7618235573
Enrollment ID: O20180502000041

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holly Wilson, APRN
2112 Sunnydale Blvd Ste B,
Clearwater, FL 33765-1207

Ph: () -		Holly Wilson, APRN
2112 Sunnydale Blvd Ste B,
Clearwater, FL 33765-1207

Ph: (727) 796-2904

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.