BRIDGETTE WILSON – Psychiatric/Mental Health Nurse Practitioner, NPI 1023593373

BRIDGETTE WILSON is a healthcare provider. based in Maitland, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 9228639 (FL). The NPI Number for BRIDGETTE WILSON is 1023593373

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BRIDGETTE WILSON
NPI
1023593373
Phone
(407) 647-1781
Address
260 LOOKOUT PL STE 202
Enumeration Date
2 October 2018
Last Update Date
2 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139951775
Graduation Year
2018 (8 years ago)
PAC ID
4880017151
Group Practice PAC ID
4385928647
Professional Enrollment ID
I20200702001751
Address ID
FL336147146TA4710XAVEX404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for BRIDGETTE WILSON

  • 202, Lookout Place, Keewin Lexington Park, Maitland, Orange County, Florida, 32751, United States

    MAITLAND, FL 327514485

    Phone: (407) 647-1781

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($92).

Total Amount

$108

General + Research + Ownership

Payments

2

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200702001751INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385928647View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Psychiatry, NeuropsychiatryFL
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Nurse PractitionerFL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

What identifier follows BRIDGETTE WILSON across health systems?
The NPI 1023593373 uniquely identifies BRIDGETTE WILSON in U.S. healthcare data.
Does the public listing show BRIDGETTE WILSON as active?
BRIDGETTE WILSON's NPI record reflects an active status in NPPES.
What type of care does BRIDGETTE WILSON provide?
BRIDGETTE WILSON's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BRIDGETTE WILSON tied to Maitland, Florida?
If you are local to Maitland, Florida, BRIDGETTE WILSON may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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