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

Andy Wilson, ARNP

Individual provider Family Nurse Practitioner · NPI 1023366887

Andy Wilson, ARNP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2012, 14 years ago. Practices with Riverside Spine and Pain Physicians LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

1375 Roberts Dr Ste 205
Jacksonville, FL 32250-3210
Phone: (904) 389-1010
Fax: (904) 389-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9225092 (FL)

Record details

NPI number1023366887
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorYes
NPI enumeratedAugust 27, 2012
Last updated in NPPESFebruary 28, 2017
Mailing address6195 Lake Gray Blvd, Suite 4, Jacksonville, FL 32244-5891

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Riverside Spine And Pain Physicians Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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