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

Cameran Rachelle Wilson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1730734203

Cameran Rachelle Wilson, FNP-C is a Nurse Practitioner in South Ogden, Utah. Qualified in 2019, 7 years ago. Practices with Revere Health PC, a 410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5896 S Ridgeline Dr Ste B
South Ogden, UT 84405-4928
Phone: (801) 866-0170
Fax: (801) 866-0169
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 950 S 500 W Ste 103, Brigham City, UT 84302-4719 — (801) 866-0170
  • 2850 N 2000 W Ste 201, Farr West, UT 84404-9230 — (801) 866-0170

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 191477-4405 (UT)

Record details

NPI number1730734203
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 1, 2019
Last updated in NPPESNovember 27, 2023
Certification dateApril 8, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Ogden