JUSTIN K. WILSON (MSN, MPA, NP-C) – Adult Health Nurse Practitioner, NPI 1801337944
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JUSTIN K. WILSON (MSN, MPA, NP-C)
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 520-5700
Type: Mailing
825 EASTLAKE AVE E
SEATTLE, WA 981094405
Phone: (206) 520-5000
Type: Location
Newark Beth Israel Medical Center, 201, Lyons Avenue, Newark, Essex County, New Jersey, 07112, United States
NEWARK, NJ 071122027
Phone: (973) 926-7908
Fax: (973) 923-8993
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $338.
Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($213).
Total Amount
$338
General + Research + Ownership
Payments
17
Total payment records
General Amount
$338
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-05-01
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 |
|---|---|---|---|---|
| I20170808001332 | I | Nurse Practitioner | NJ | TBD |
| I20230501002569 | I | Nurse Practitioner | WA | 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 98145)
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Group practice members
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| - | NJ | |
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Reviews
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