KRISTA LYNN WILSON A.R.N.P. NPI 1225001464

NPI Information

  • NPI: 1225001464
  • Provider Name: KRISTA LYNN WILSON, A.R.N.P.
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 415 MAIN ST
    MALVERN, IA
    ZIP 51551
  • Phone: (712) 624-9185

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NPI Details

Krista Lynn Wilson, A.R.N.P. is a nurse practitioner in Malvern, IA with 24 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Krista Lynn Wilson, A.R.N.P. NPI is 1225001464. 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:

415 MAIN ST
MALVERN, IA
ZIP 51551-152
Phone: (712) 624-9185
Fax: (712) 624-8827

The NPI 1225001464 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 enumeration date for this NPI number is 2/8/2006 and was last updated on 7/15/2016.

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
1363LP2300XNurse PractitionerPrimary CareA088603IOWANo
2363LF0000XNurse PractitionerFamily110991NEBRASKANo
3363L00000XNurse PractitionerA088603IOWAYes

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
11225001464MEDICAIDIOWA
2470687317-16MEDICAIDNEBRASKA
347068731712MEDICAIDNEBRASKA
4058970057MEDICARE PINIOWA
5099099280MEDICARE PINNEBRASKA
6075120027MEDICARE PINIOWA
747068731777MEDICAIDNEBRASKA

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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