HOLLY WILSON (M.D.) – Emergency Medicine Physician, NPI 1720280688

HOLLY WILSON (M.D.) is a healthcare provider. based in Sunrise, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME98782 (FL). The NPI Number for HOLLY WILSON (M.D.) is 1720280688

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY WILSON (M.D.)
NPI
1720280688
Phone
Not provided
Address
1613 NW 136TH AVE
Enumeration Date
4 June 2007
Last Update Date
13 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217521200
Graduation Year
2003 (23 years ago)
PAC ID
0143316588
Group Practice PAC ID
2860783925
Professional Enrollment ID
I20071017000507
Address ID
FL329358625ME250XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Loading map...

Provider Addresses for HOLLY WILSON (M.D.)

  • Northwest 136th Avenue, Sunrise, Broward County, Florida, 33323, United States

    STE 200

    SUNRISE, FL 333232896

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20071017000507IEmergency MedicineFLTBD
I20220929002955IEmergency MedicineSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making124122$0
99284Emergency department visit with moderate level of medical decision making103103$0
99292Critical care, each additional 30 minutes2611$0
99283Emergency department visit with low level of medical decision making2121$0
99291Critical care, first 30-74 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 33323)

Loading plans...

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: 2860783925View full group profile
NameSpecialtyState
-FL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Internal MedicineFL
Emergency MedicineWV

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up HOLLY WILSON (M.D.) by NPI?
Use NPI 1720280688 when you need to reference HOLLY WILSON (M.D.) in forms, claims, or directories.
Is HOLLY WILSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize HOLLY WILSON (M.D.)'s specialty in plain language?
Clinically, the directory lists HOLLY WILSON (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is HOLLY WILSON (M.D.)'s primary listing?
We display Sunrise, Florida because that is what the record indicates for HOLLY WILSON (M.D.).
Is HOLLY WILSON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1720280688. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MS. DAPHNE MARIAN PITTS (MD)

Emergency Medicine Physician
Southwest 13th Street, Davie, Broward County, Florida, 33324:33328, United States
NPI: 1699771576

Hilton Head Emergency Physicians, Inc.

Emergency Medicine Physician
Hilton Head Hospital, 25, Hospital Center Boulevard, Hilton Head Island, Beaufort County, South Carolina, 29926, United States
NPI: 1326047176

Florida Emergency Physicians Kang and Associates MD Inc

Emergency Medical Services (Emergency Medicine) Physician
Northwest 136th Avenue, Sunrise, Broward County, Florida, 33325, United States
NPI: 1811983752

DR. JOHN ESIN (MD)

Emergency Medicine Physician
Northwest 136th Avenue, Sunrise, Broward County, Florida, 33325, United States
NPI: 1215923966

SANTIAGO MESORANA (MD)

Emergency Medicine Physician
Sunrise, Harrison County, Kentucky, United States
NPI: 1427046978

LENWORTH L ANGLIN (MD)

Emergency Medicine Physician
Sunrise, Harrison County, Kentucky, United States
NPI: 1598743130

CRAIG SCOTT BLACK (DO)

Emergency Medicine Physician
PO BOX 848508
NPI: 1689652232

THOMAS ARTHUR CAFFREY (MD)

Emergency Medicine Physician
Sunrise, Harrison County, Kentucky, United States
NPI: 1538147194

JUAN E ANCHIETA (MD)

Emergency Medicine Physician
Sunrise, Harrison County, Kentucky, United States
NPI: 1528046174