HEATHER WILSON – Nurse Practitioner, NPI 1417309642

HEATHER WILSON is a healthcare provider. based in Mc kee, Kentucky. specializing in Nurse Practitioner. They hold a License No. 3010517 (KY). The NPI Number for HEATHER WILSON is 1417309642

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER WILSON
NPI
1417309642
Phone
(859) 626-7700
Address
1010 MAIN ST S
Enumeration Date
12 July 2016
Last Update Date
13 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6067230665
Graduation Year
2016 (10 years ago)
PAC ID
1052608809
Group Practice PAC ID
8224946561
Professional Enrollment ID
I20160922001755
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for HEATHER WILSON

  • 1010 MAIN ST S

    MC KEE, KY 404477089

    Phone: (859) 626-7700

    Fax: (859) 626-7890

    Type: Mailing

  • 104, Legacy Drive, Berea, Madison County, Kentucky, 40461, United States

    BEREA, KY 404039594

    Phone: (859) 986-2323

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 40447)

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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: 8224946561View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerTN

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Frequently asked questions

Where can patients find HEATHER WILSON's NPI?
You can confirm HEATHER WILSON with NPI 1417309642; it appears in the national provider directory.
Does this profile mean HEATHER WILSON is currently active?
Yes — HEATHER WILSON appears active in the national provider directory.
Does HEATHER WILSON list a primary specialty?
If you are matching referrals, note Nurse Practitioner for HEATHER WILSON. Clinical services aligned with this taxonomy classification.
Where does public data place HEATHER WILSON?
The snapshot lists Mc Kee, Kentucky for HEATHER WILSON; download NPPES for the complete set.
What if Mc Kee, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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