OrganizationActive
Internal Medicine & Pediatrics Wellness Center
NPI 1992825145 · Internal Medicine Physician · Crystal River, FL
Provider details
- NPI number
- 1992825145
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlene Wilson, Owner/Physician(352) 795-2459
- License
- ME93743 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6038 W. Nordling Loop
Crystal River, FL 34429
Phone: (352) 795-2459
Fax: (352) 795-4322
Street-level locationGet directions
Mailing address
Po Box 2012
Lecanto, FL 34460
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2014-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.