MARLENE MARY WILSON FNP
NPI 1013062009
Nurse Practitioner - Family in Indianapolis, IN

Active since January 23, 2007
6745 GRAY RD STE D, INDIANAPOLIS, IN 46237(317) 859-1090(317) 941-7254 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Nov 8, 2018 (2 updates tracked since 2018).

About Marlene Mary Wilson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENE MARY WILSON FNP (NPI 1013062009) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71000629A) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1013062009
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARLENE MARY WILSONCredential: FNP
Location Address6745 GRAY RD STE DIndianapolis, IN 46237-3236
Mailing AddressPo Box 100Beech Grove, IN 46107-0100 · (317) 859-1090 · Fax (317) 941-7254
Fax(317) 941-7254
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1013062009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71000629A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71000629A (IN)
6745 GRAY RD STE D, Indianapolis, IN 46237

Other Names 1

Former Name (1)Marlene Mary Eddy Fnp

Other Identifiers 7

Other000000545372IN · Anthem
Other28086560AIN · Rn License
Other000000033846IN · M Plan
OtherP00303828IN · Railroad Medicare
Other11533126IN · Caqh
Other71000629BIN · Csr
Medicaid200509870IN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
6745 GRAY RD STE D
INDIANAPOLIS, IN 46237
Nurse Practitioner (Adult Health)
6745 GRAY RD STE D
INDIANAPOLIS, IN 46237
Nurse Practitioner (Family)
6745 GRAY RD STE D
INDIANAPOLIS, IN 46237

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlene Wilson's NPI number?

The NPI number for Marlene Wilson is 1013062009. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Marlene Mary Eddy Fnp.

Where is Marlene Wilson located?

Marlene Wilson practices at 6745 Gray Rd Ste D, Indianapolis, IN 46237. The listed phone number is (317) 859-1090.

What is Marlene Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marlene Wilson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.