MRS. ALICIA ANN WILSON RN MSN FNP-BC NPI 1649509332

NPI Information

  • NPI: 1649509332
  • Provider Name: MRS. ALICIA ANN WILSON, RN, MSN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 E TICKLE ST
    DYERSBURG, TN
    ZIP 38024
  • Phone: (731) 288-3610

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NPI Details

MRS. Alicia Ann Wilson, RN, MSN, FNP-BC is a family nurse practitioner in Dyersburg, TN with 16 years of experience. MRS. Alicia Ann Wilson, RN, MSN, FNP-BC NPI is 1649509332. 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:

400 E TICKLE ST
DYERSBURG, TN
ZIP 38024-120
Phone: (731) 288-3610

The NPI 1649509332 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.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 12/9/2009 and was last updated on 4/17/2023.

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 Nurse150829TENNESSEENo
2363LF0000XNurse PractitionerFamily4000583KENTUCKYNo
3363LF0000XNurse PractitionerFamily14842TENNESSEEYes

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
11521553MEDICAIDTENNESSEE

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: 3/30/2025

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