Mrs Kimberly Ellison Wilson, CRNP in Northport, AL

Mrs Kimberly Ellison Wilson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Northport, Alabama. Her current practice location is 1325 Mcfarland Blvd, Suite 104, Northport, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 330-5266.

Mrs Kimberly Ellison Wilson is licensed to practice in Alabama (license number 1-078924) 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 1285826057.

Contact Information

	Mrs Kimberly Ellison Wilson, CRNP
	1325 Mcfarland Blvd, Suite 104, Northport, AL 35476-3270
	(205) 330-5266
	(205) 330-9915

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Ellison Wilson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1325 Mcfarland Blvd, Northport, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285826057
Provider Enumeration Date: 08/15/2007
Last Update Date: 09/25/2012

Medicare PECOS Information:

PECOS PAC ID: 2264529072
Enrollment ID: I20071025000544

Medical Identifiers

Medical identifiers for Mrs Kimberly Ellison Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285826057	NPI	-	NPPES
511-00428	Other	AL	BCBS OF ALABAMA
115069/1336474964	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-078924 (Alabama)	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. Mrs Kimberly Ellison Wilson allows following entities to bill medicare on her behalf.

Entity Name	Slcm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336474964 PECOS PAC ID: 9830230119 Enrollment ID: O20100108000359

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. Mrs Kimberly Ellison 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 Address	Practice Location Address
Mrs Kimberly Ellison Wilson, CRNP 1325 Mcfarland Blvd, Suite 104, Northport, AL 35476-3270 Ph: (205) 330-5266	Mrs Kimberly Ellison Wilson, CRNP 1325 Mcfarland Blvd, Suite 104, Northport, AL 35476-3270 Ph: (205) 330-5266

Reviews and Comments

Nurse Practitioner Nurses in Northport, AL

Jacqueline Elaine White, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3105 31st Ave, Northport, AL 35476 Phone: 205-292-7230
Lisa Colette Ryan, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4280 Watermelon Rd Ste 112, Northport, AL 35473 Phone: 205-750-0030 Fax: 205-750-0855
William Jackson Steele Sr., MSN, CRNP, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Hospital Dr, Northport, AL 35476 Phone: 205-361-5291
Lyndsie Rhoden Montgomery, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5710 Watermelon Rd Ste 600, Northport, AL 35473 Phone: 205-345-6272
Latonia Mitchell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Mcfarland Blvd Ste B, Northport, AL 35476 Phone: 659-239-0148
Haley Bolen, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1116 Mitt Lary Rd, Northport, AL 35475 Phone: 205-556-5634
Dr. Amy Nicole Collins, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4280 Watermelon Rd Ste 111, Northport, AL 35473 Phone: 205-333-8554 Fax: 205-752-7696

Mrs Kimberly Ellison Wilson, CRNP - Medicare Nurse Practitioner in Northport, AL