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

Shianna Wilson

Individual provider Family Nurse Practitioner · NPI 1275399685

Shianna Wilson is a Nurse Practitioner in Goodyear, Arizona. Qualified in 2024, 2 years ago. Practices with Privia Medical Group Arizona, LLC, a 96-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

13555 W McDowell Rd Ste 101
Goodyear, AZ 85395-2625
Phone: (623) 935-4700
Fax: (623) 935-4707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8541 E Anderson Dr Ste 104, Scottsdale, AZ 85255-5430 — (602) 688-2248

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 249111 (AZ)

Record details

NPI number1275399685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 23, 2024
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address3815 E Bell Rd Ste 4500, Phoenix, AZ 85032-2171

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Privia Medical Group Arizona, Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Goodyear