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

Michelle Wilcox, FNP

Individual provider Nurse Practitioner · NPI 1194418012

Michelle Wilcox, FNP is a Nurse Practitioner in El Cajon, California. Qualified in 2023, 3 years ago. Practices with Revive Pathway, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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

1240 Broadway
El Cajon, CA 92021-4994
Phone: (619) 841-1310
Fax: (619) 841-1311
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95025923 (CA)

Record details

NPI number1194418012
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 26, 2023
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address1240 Broadway, El Cajon, CA 92021-4994

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Revive Pathway — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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