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

MS. Kelley Geddis Wilson, CNP

Individual provider Nurse Practitioner · NPI 1508085531

MS. Kelley Geddis Wilson, CNP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2006, 20 years ago. Practices with University Physician Group, a 402-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4100 John R St Karmanos Cancer Center Midlevels
Detroit, MI 48201-2013
Phone: (800) 527-6266
Fax: (313) 576-8381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704185213 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704185213 (MI)

Record details

NPI number1508085531
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESJuly 29, 2016

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 University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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