Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amber Fortuna Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922637271

Amber Fortuna Wilson is a Physician Assistant in Louisville, Kentucky. Qualified in 2020, 6 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

200 E Chestnut St Bldg SUITE303
Louisville, KY 40202-1831
Phone: (502) 629-5552
Fax: (502) 629-3132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1172 E Broadway Unit 348, Louisville, KY 40204-1886 — (865) 201-7921

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC013 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922637271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Louisville