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

Omotezi Wilson, APN

Individual provider Psychiatry Physician · NPI 1912686338

Omotezi Wilson, APN is a Nurse Practitioner in Voorhees, New Jersey. Qualified in 2022, 4 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2023
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

443 Laurel Oak Rd Ste 130
Voorhees, NJ 08043-4419
Phone: (856) 857-6920
Show map & directions

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

Additional practice locations (2)

  • 443 Laurel Oak Rd, Voorhees, NJ 08043-4419 — (844) 542-2273
  • 159 S Broad St, Woodbury, NJ 08096-2410 — (844) 542-2273

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ14848500 (NJ)
Psychiatry Physician Taxonomy 2084P0800X · Licence 26NJ14848500 (NJ)

Record details

NPI number1912686338
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address443 Laurel Oak Rd Ste 130, Kirkwood, NJ 08043-4419

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Voorhees