Kristina Lee Wilson, - Medicare Nurse Practitioner in Callahan, FL

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Kristina Lee Wilson, is a medicare enrolled "Nurse Practitioner - Family" in Callahan, Florida. Her current practice location is 542435 Us Highway 1, Callahan, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 507-4623.

Kristina Lee Wilson is licensed to practice in Florida (license number APRN11025855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700572443.

Contact Information

Kristina Lee Wilson,
542435 Us Highway 1,
Callahan, FL 32011-3497
(904) 507-4623
Not Available

Map and Direction




Provider's Profile

Full NameKristina Lee Wilson
GenderFemale
SpecialityNurse Practitioner - Family
Location542435 Us Highway 1, Callahan, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700572443
  • Provider Enumeration Date: 04/14/2023
  • Last Update Date: 04/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739544651
  • Enrollment ID: I20230428001079

Medical Identifiers

Medical identifiers for Kristina Lee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700572443NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN9486864 (Florida)Secondary
363LF0000XNurse Practitioner - Family APRN11025855 (Florida)Primary

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. Kristina Lee Wilson allows following entities to bill medicare on her behalf.
Entity NameRural Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881353670
PECOS PAC ID: 8820305600
Enrollment ID: O20220520001088

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. Kristina Lee 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
Kristina Lee Wilson,
1500 1st Ave N Unit 3,
Birmingham, AL 35203-1866

Ph: () -		Kristina Lee Wilson,
542435 Us Highway 1,
Callahan, FL 32011-3497

Ph: (904) 507-4623

Reviews and Comments


Nurse Practitioner Nurses in Callahan, FL

Haylie Whittenburg, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 904-879-4233    
Alisha Cigalotti, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 866-359-2727    
Ms. Donna Lee Irwin, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 45377 Mickler St, Callahan, FL 32011
Phone: 904-879-2306    Fax: 904-879-6377
Shonda Souther, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 542435 Us Highway 1, Callahan, FL 32011
Phone: 904-507-4623    
Melissa Thick Cannon, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 904-879-4233    
Margo Walton,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 866-389-2727    
Alexis Gill, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 450077 State Road 200 Ste 12, Callahan, FL 32011
Phone: 904-633-0560    

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.