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

Douglas Van Wilson, CRNP

Individual provider Family Nurse Practitioner · NPI 1407417538

Douglas Van Wilson, CRNP is a Nurse Practitioner in Lincoln, Alabama. Qualified in 2019, 7 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
7
Licensed in
AL
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

47344 US Highway 78
Lincoln, AL 35096-6748
Phone: (205) 763-7848
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-107799 (AL)

Record details

NPI number1407417538
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 28, 2019
Last updated in NPPESJune 28, 2019

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 Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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