MS. ANDREA LEIGH WILSON (PMHNP) – Family Nurse Practitioner, NPI 1295042331
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. ANDREA LEIGH WILSON (PMHNP)
3736 BUBBA DR
ZEPHYRHILLS, FL 335414643
Phone: (443) 944-5598
Fax: (443) 664-0189
Type: Mailing
611 S HOWARD AVE
TAMPA, FL 336062412
Phone: (443) 944-5598
Type: Location
8 E COTTONWOOD ST
COTTONWOOD, AZ 863264382
Phone: (877) 634-7333
Fax: (866) 984-3891
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20150623000677 | I | Nurse Practitioner | FL | TBD |
| I20220209000191 | I | Nurse Practitioner | TX | TBD |
| I20250130001138 | I | Nurse Practitioner | OR | TBD |
| I20250411003028 | I | Nurse Practitioner | AZ | 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 33541)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Physician Assistant | OR | |
| Clinical Social Worker | OR | |
| Clinical Social Worker | MT | |
| Physician Assistant | UT | |
| Physician Assistant | OR | |
| Family Practice, Addiction Medicine | WA | |
| - | OR | |
| Physical Therapist In Private Practice | OR | |
| Physician Assistant | OR |
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