RONISHA GABBANA WILSON
NPI 1073291944
Nurse Practitioner - Family in Chicago, IL

Q: What is Ronisha Gabbana Wilson's NPI number?

The NPI number for Ronisha Gabbana Wilson is 1073291944. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Q: What is Ronisha Gabbana Wilson's specialty?

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

Active since July 10, 2023PECOS EnrolledAccepts Medicare Assignment

779 W ADAMS ST, CHICAGO, IL 60661(312) 382-8308 Get Directions Write a Review

NPPES record last updated: November 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2025, Jul 10, 2023 (2 updates tracked since 2023).

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About Ronisha Gabbana Wilson NPPES

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

RONISHA GABBANA WILSON (NPI 1073291944) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.033251) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Katy, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073291944

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRONISHA GABBANA WILSON

Location Address779 W ADAMS STChicago, IL 60661-3509

Mailing Address28631 Hannahs Harbor LnKaty, TX 77494-2269

Phone(312) 382-8308

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 10, 2023

Last NPPES UpdateNovember 8, 20252 updates tracked since enumeration

NPPES CertifiedNovember 8, 2025

✔ NPI 1073291944 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

License✔ Licensed in IL · 209.033251

779 W ADAMS ST, Chicago, IL 60661

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Secondary Practice Location 1

Location 128631 Hannahs Harbor LnKaty, TX 77494-2269 · Phone (951) 760-6164

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Ronisha Gabbana Wilson 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 ID6002261278

PECOS Enrollment IDI20251103000522

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 60661 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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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.

HANNAH KERR

Nurse Practitioner (Family)