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

Kayci Dial Wilson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1720205586

Kayci Dial Wilson, NURSEPRACTITIONER is a Nurse Practitioner in Vivian, Louisiana. Qualified in 2006, 20 years ago. Practices with Benton Medical, a 4-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
20
Licensed in
LA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

815 S Pine St
Vivian, LA 71082-3353
Phone: (318) 375-3239
Fax: (318) 375-2755
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 AP05072 (LA)
Registered Nurse Taxonomy 163W00000X · Licence RN097383 (LA)

Record details

NPI number1720205586
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Benton Medical — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vivian