JOLYNN GAITHER-WILSON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1588021877

JOLYNN GAITHER-WILSON (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3009994 (KY). The NPI Number for JOLYNN GAITHER-WILSON (APRN) is 1588021877

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JOLYNN GAITHER-WILSON (APRN)
NPI
1588021877
Phone
(502) 233-3030
Address
5115 S 3RD ST
Enumeration Date
19 January 2016
Last Update Date
1 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2167525600
Graduation Year
2015 (11 years ago)
PAC ID
9133423502
Group Practice PAC ID
2769916915
Professional Enrollment ID
I20260325001014
Address ID
OH441225249SH3550XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,387 NURSE PRACTITIONER in KY

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Provider Addresses for JOLYNN GAITHER-WILSON (APRN)

  • 5115, South 3rd Street, Louisville, Jefferson County, Kentucky, 40214, United States

    LOUISVILLE, KY 402142601

    Phone: (502) 233-3030

    Fax: (502) 719-8161

    Type: Location

  • 1941 BISHOP LN STE 506

    LOUISVILLE, KY 402181969

    Phone: (502) 203-1084

    Fax: (502) 371-8760

    Type: Mailing

  • 6912, Woodhaven Place Drive, Louisville, Jefferson County, Kentucky, 40228, United States

    LOUISVILLE, KY 402282805

    Phone: (502) 295-0199

    Fax: (502) 618-0422

    Type: Mailing

  • 6912 WOODHAVEN PLACE DR

    LOUISVILLE, KY 402282805

    Phone: (502) 653-9034

    Fax: (502) 653-7154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Boston Scientific Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-02

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: 2016-02-04

PECOS data refreshed: 2026-06-15

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
I20160204001148INurse PractitionerKYTBD

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 40214)

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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: 2769916915View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerNJ
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerKY
Nurse PractitionerOH

Reviews

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Frequently asked questions

What NPI should I save for JOLYNN GAITHER-WILSON (APRN)?
Save NPI 1588021877 if you need a stable reference for JOLYNN GAITHER-WILSON (APRN).
Does this profile mean JOLYNN GAITHER-WILSON (APRN) is currently active?
Yes — JOLYNN GAITHER-WILSON (APRN) appears active in the national provider directory.
What kind of provider is JOLYNN GAITHER-WILSON (APRN)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for JOLYNN GAITHER-WILSON (APRN). Clinical services aligned with this taxonomy classification.
Does JOLYNN GAITHER-WILSON (APRN) practice in Kentucky?
You will see Louisville, Kentucky on file for JOLYNN GAITHER-WILSON (APRN) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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