KATIE WILSON AGACNP-BC
NPI 1073031100
Nurse Practitioner - Gerontology in Danville, IL

Q: What is Katie Wilson's NPI number?

The NPI number for Katie Wilson is 1073031100. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Q: What is Katie Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Katie Wilson was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 08, 2017PECOS Enrolled

1900 E MAIN ST, DANVILLE, IL 61832(217) 554-4364 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Katie Wilson Agacnp-bc NPPES

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

KATIE WILSON AGACNP-BC (NPI 1073031100) is an individual gerontology provider in Danville, Illinois, licensed in Illinois (209.016522) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073031100

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKATIE WILSONCredential: AGACNP-BC

Location Address1900 E MAIN STDanville, IL 61832-5100

Mailing Address1900 E Main StDanville, IL 61832-5100 · (217) 554-4364

Phone(217) 554-4364

Sole ProprietorNo

Enumeration DateSeptember 8, 2017

Last NPPES UpdateMarch 5, 2019

✔ NPI 1073031100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209.016522

1900 E MAIN ST, Danville, IL 61832

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Wilson Agacnp-bc 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 61832 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

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