MS. JAVDA MIASHA WILSON (FNP) – Nurse Practitioner, NPI 1124459730
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MS. JAVDA MIASHA WILSON (FNP)
1225 GRAHAM RD
FLORISSANT, MO 630318012
Phone: (314) 963-6994
Type: Mailing
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-9123
Fax: (314) 747-9160
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: 2025-04-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140919001411 | I | Nurse Practitioner | MO | TBD |
| I20250418000403 | I | Nurse Practitioner | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 51 | 48 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 36 | 36 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 18 | 18 | $0 |
Insurance plans in this area (ZIP 63031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MO | |
| Emergency Medicine | MO | |
| Nurse Practitioner | IL | |
| Internal Medicine, Emergency Medicine, Pediatric Medicine | TX | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | CT | |
| Emergency Medicine | MO | |
| Emergency Medicine | MO | |
| Internal Medicine, Emergency Medicine | MO |
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