MS. CINDY KAREN WILSON ARNP NPI 1073847075

NPI Information

  • NPI: 1073847075
  • Provider Name: MS. CINDY KAREN WILSON, ARNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 820 PRUDENTIAL DR
    SUITE 510
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 376-3800

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NPI Details

MS. Cindy Karen Wilson, ARNP is a psychiatric/mental health nurse practitioner in Jacksonville, FL with 17 years of experience. MS. Cindy Karen Wilson, ARNP NPI is 1073847075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 PRUDENTIAL DR
SUITE 510
JACKSONVILLE, FL
ZIP 32207-210
Phone: (904) 376-3800
Fax: (904) 376-3998

The NPI 1073847075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 9/23/2009 and was last updated on 12/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP9222756FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HS272YMEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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