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KATHERINE ANN WILSON MA
NPI 1063170454
Counselor - Mental Health in Bartlesville, OK

Active since December 02, 2021PECOS Enrolled
700 SW PENN, BARTLESVILLE, OK 74003(918) 402-0811 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2022, Dec 2, 2021 (2 updates tracked since 2021).

About Katherine Ann Wilson Ma NPPES

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

KATHERINE ANN WILSON MA (NPI 1063170454) is an individual mental health provider in Bartlesville, Oklahoma and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063170454
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE ANN WILSONCredential: MA
Location Address700 SW PENNBartlesville, OK 74003-3847
Mailing Address700 Sw PennBartlesville, OK 74003-3847 · (918) 337-8080 · Fax (918) 337-8099
Phone(918) 402-0811
Sole ProprietorNo
Enumeration DateDecember 2, 2021
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
✔ NPI 1063170454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
700 SW PENN, Bartlesville, OK 74003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Ann Wilson Ma 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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center, Inc.
Same address
Mental Health (Including Community Mental Health Center)
705 S VIRGINIA AVE
Bartlesville, OK 74003
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1902813033 (918) 337-8080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JAMES LUKE SMITH
Social Worker
700 SW PENN
BARTLESVILLE, OK 74003
Osage County (918) 337-8080
MS. DAWN GRAY BA
Case Manager/Care Coordinator
700 SW PENN
BARTLESVILLE, OK 74003
Osage County (918) 337-8080
KELSIE DAWN AVILA
Case Manager/Care Coordinator
700 SW PENN
BARTLESVILLE, OK 74003
Osage County (918) 770-5892
MORGAN SMITH
Counselor (Mental Health)
700 SW PENN
BARTLESVILLE, OK 74003
Osage County (918) 337-8080
MRS. KERRY LYNN SHAW CARE COORDINATOR
Case Manager/Care Coordinator
700 SW PENN
BARTLESVILLE, OK 74003
Osage County (918) 337-8080
MR. KEVIN CONRAD SUGGS LPC
Counselor (Mental Health)
700 SW PENN
BARTLESVILLE, OK 74003
Osage County (918) 337-8080
KARA ANN PERES
Case Manager/Care Coordinator
700 SW PENN
BARTLESVILLE, OK 74003
Osage County (918) 337-8080
AMY MICHELLE MABRY
Case Manager/Care Coordinator
700 SW PENN
BARTLESVILLE, OK 74003
Osage County (918) 337-8080

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 Katherine Wilson's NPI number?

The NPI number for Katherine Wilson is 1063170454. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Katherine Wilson located?

Katherine Wilson practices at 700 SW Penn, Bartlesville, OK 74003. The listed phone number is (918) 402-0811.

What is Katherine Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Katherine Wilson enrolled in Medicare?

Yes. Katherine Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Wilson reassigns Medicare benefits to Grand Lake Mental Health Center, Inc. (Bartlesville, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Wilson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Katherine Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Wilson was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.