MS. DONETA WILSON (APRN) – Adult Health Nurse Practitioner, NPI 1043874811
Adult Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. DONETA WILSON (APRN)
12483, SW 44th Court, Miramar, Broward County, Florida, 33027, United States
MIRAMAR, FL 330276004
Phone: (954) 998-9155
Type: Location
1380 NE MIAMI GARDENS DR STE 210
NORTH MIAMI BEACH, FL 331794709
Phone: (305) 931-7424
Type: Mailing
1515 N UNIVERSITY DR STE 217
CORAL SPRINGS, FL 330718933
Phone: (305) 931-7424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $559.
Total Amount is formed as General ($559) + Research ($0) + Ownership ($0) = $559.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Novo Nordisk Inc ($272).
Total Amount
$559
General + Research + Ownership
Payments
20
Total payment records
General Amount
$559
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $272 |
| Lilly USA, LLC | $234 |
| SHIELD THERAPEUTICS INC | $52 |
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: 2024-02-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240211000054 | I | Nurse Practitioner | FL | 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 33027)
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