MS. JENNIFER LYNNE WILSON (APRN) – Family Nurse Practitioner, NPI 1184657801
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MS. JENNIFER LYNNE WILSON (APRN)
990 Airport Road
Destin, FL 32541
Phone: (850) 269-6400
Fax: (850) 654-9581
Type: Location
PO BOX 810
HANOVER, NH 037550810
Phone: (603) 308-1467
Fax: (850) 863-4152
Type: Mailing
100 HITCHCOCK WAY
MANCHESTER, NH 031044125
Phone: (603) 695-2500
Type: Location
1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
FORT WALTON BEACH, FL 325476796
Phone: (850) 863-8100
Fax: (850) 863-4152
Type: Mailing
990, Airport Road, Destin, Okaloosa County, Florida, 32541, United States
DESTIN, FL 32541
Phone: (850) 269-6400
Fax: (850) 654-9581
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $419.
Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.
Last reported payment date: 2023-09-29 • Largest payer in this snapshot: Abbott Laboratories ($233).
Total Amount
$419
General + Research + Ownership
Payments
7
Total payment records
General Amount
$419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $233 |
| Lilly USA, LLC | $122 |
| ABBVIE INC. | $48 |
| GlaxoSmithKline, LLC. | $15 |
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: 2005-07-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050726000228 | I | Nurse Practitioner | NH | TBD |
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.
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 32541)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NH | |
| - | NH | |
| Family Practice | NH | |
| Cardiovascular Disease (Cardiology) | AZ | |
| - | NH | |
| Nurse Practitioner | NH | |
| Clinical Social Worker | VT | |
| Nurse Practitioner | NH | |
| Radiation Oncology | NH | |
| - | NH |
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