Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609314061 Individual Practitioner Female Practitioner

Candice Melody Wilson , ARNP

Nurse Practitioner - Pediatrics • Celebration, FL

Professional Overview & Biography Verified Profile Summary

Candice Wilson, ARNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Celebration, FL. Practice services are available at 63 RILEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

63 Riley Rd

Celebration, FL 347475419

Telephone 4079306900
Fax 3212034669
Associated Practice Facility / Clinic
🏢 Physician Associates Llc Facility NPI 1801242961

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Celebration, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Celebration, FL (1565 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-26
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL ARNP9327498

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
24929100 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Amber Freeman , RN, FNP

Nurse Practitioner - Family

NPI 1447673264

Registered Nurse, Family Nurse Practitioner

NPI 1952386187

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location December 26, 2023

Registered at 63 RILEY RD, CELEBRATION, FL 347475419 (Tel: 4079306900)

📍
Updated Business Mailing Address December 26, 2023

Registered at 63 RILEY RD, CELEBRATION, FL 347475419 (Tel: 4079306900)

📍
Updated Practice Location January 21, 2019

Registered at 1186 CYPRESS GLEN CIR, KISSIMMEE, FL 347417560 (Tel: 4078467669)

👤
Provider Name / Credentials Updated April 25, 2018

Recorded as CANDICE WILSON, ARNP

NPI Profile Active March 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2017

Registered at 14015 EGRET TOWER DR, ORLANDO, FL 328376197 (Tel: 4074477100)

📍
Updated Business Mailing Address March 20, 2017

Registered at 14015 EGRET TOWER DR, ORLANDO, FL 328376197 (Tel: 4074477100)

👤
Provider Name / Credentials Updated March 20, 2017

Recorded as CANDICE BROWN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2017

Nurse Practitioner (License #ARNP9327498 in FL)

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2017

Registered at 14015 EGRET TOWER DR, ORLANDO, FL 328376197 (Tel: 4074477100)

📍
Updated Business Mailing Address February 06, 2017

Registered at 14015 EGRET TOWER DR, ORLANDO, FL 328376197 (Tel: 4074477100)

👤
Provider Name / Credentials Updated February 06, 2017

Recorded as CANDICE BROWN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Nurse Practitioner (License #ARNP9327498 in FL)

🟢
Initial NPI Registration & Enumeration February 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609314061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2017
Last Update: December 26, 2023
Sole Proprietor: Yes

Mailing Address

63 Riley Rd

Celebration, FL 347475419

Phone: 4079306900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.