BRETT M WILSON APRN - NPI 1053928804 - Nurse Practitioner in Cookeville, TN

Q: What is Brett Wilson's NPI number?

The NPI number for Brett Wilson is 1053928804. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Q: What is Brett Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brett Wilson was last updated on September 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brett M Wilson Aprn NPPES

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

BRETT M WILSON APRN (NPI 1053928804) is an individual family provider in Cookeville, Tennessee, licensed in Tennessee (30000) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053928804

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRETT M WILSONCredential: APRN

Location Address225 N WILLOW AVE STE 3Cookeville, TN 38501-2453

Mailing Address225 N Willow Ave Ste 3Cookeville, TN 38501-2453 · (931) 528-8999 · Fax (931) 520-7655

Phone(931) 528-8999

Fax(931) 520-7655

Sole ProprietorYes

Enumeration DateSeptember 25, 2020

Last NPPES UpdateSeptember 5, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1053928804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 30000✔ Licensed in FL · APRN11009348

225 N WILLOW AVE STE 3, Cookeville, TN 38501

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1225 N Willow Ave Ste 1Cookeville, TN 38501-2453 · Phone (931) 528-8899

Location 2207 E Bockman WaySparta, TN 38583-2041 · Phone (931) 836-6461 · Fax (833) 623-1827

Location 3229 Interstate Dr Ste 105Crossville, TN 38555-2704 · Phone (931) 250-5230

Other Identifiers 1

MedicaidQ079333TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett M Wilson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$183.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

MRS. MELISSA M PTAK MSN, FNP-C, CDCES

Nurse Practitioner (Family)