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

Connie Marie Wilson, FNP

Individual provider Nurse Practitioner · NPI 1619341260

Connie Marie Wilson, FNP is a Nurse Practitioner in Athol, Idaho. Qualified in 2015, 11 years ago. Practices with North Idaho Day Surgery LLC, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

7173 E Super 1 Loop Ste B
Athol, ID 83801-7109
Phone: (208) 561-9901
Fax: (208) 561-9968
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP-1655A (ID)

Record details

NPI number1619341260
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 19, 2015
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Idaho Day Surgery Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services