CACIA L WILSON NPI 1619362076

NPI Information

  • NPI: 1619362076
  • Provider Name: CACIA L WILSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3750 LANDMARK DR STE A
    LAFAYETTE, IN
    ZIP 47905
  • Phone: (765) 448-4511

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NPI Details

Cacia L Wilson is a family nurse practitioner in Lafayette, IN with 11 years of experience. Cacia L Wilson NPI is 1619362076. 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:

3750 LANDMARK DR STE A
LAFAYETTE, IN
ZIP 47905-652
Phone: (765) 448-4511
Fax: (765) 447-7312

The NPI 1619362076 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)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Automated urinalysis test (HCPCS:81003)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Photography of the retina (HCPCS:92250)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)

The enumeration date for this NPI number is 4/2/2015 and was last updated on 3/29/2021.

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
1163W00000XRegistered Nurse28195527AINDIANANo
2363LF0000XNurse PractitionerFamily71005451AINDIANAYes

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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