VICTORIA LYNN WILSON CRNP
NPI 1053689026
Nurse Practitioner - Women's Health in Philadelphia, PA

Active since December 06, 2011PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE ST, 1 WEST GATES, PHILADELPHIA, PA 19104(215) 662-2730(215) 349-5224 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victoria Lynn Wilson Crnp NPPES

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

VICTORIA LYNN WILSON CRNP (NPI 1053689026) is an individual women's health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP011865) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1053689026
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameVICTORIA LYNN WILSONCredential: CRNP
Location Address3400 SPRUCE ST, 1 WEST GATESPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, 1 West GatesPhiladelphia, PA 19104-4206 · (215) 662-2730 · Fax (215) 349-5224
Fax(215) 349-5224
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 6, 2011
Last NPPES UpdateFebruary 21, 2012
NPI 1053689026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in PA · SP011865
3400 SPRUCE ST, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Victoria Lynn Wilson Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658539648
PECOS Enrollment IDI20120222000356
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

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 Victoria Wilson's NPI number?

The NPI number for Victoria Wilson is 1053689026. It was assigned to this individual provider in the NPPES registry on December 6, 2011.

Where is Victoria Wilson located?

Victoria Wilson practices at 3400 Spruce St 1 West Gates, Philadelphia, PA 19104. The listed phone number is (215) 662-2730.

What is Victoria Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Victoria Wilson enrolled in Medicare?

Yes. Victoria Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Victoria Wilson affiliated with any hospitals?

According to CMS data, Victoria Wilson is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Victoria Wilson was last updated on February 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.