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

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