EMILY JEAN WILSON AGNP-C
NPI 1083599740
Nurse Practitioner - Gerontology in Grand Rapids, MI
About Emily Jean Wilson Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY JEAN WILSON AGNP-C (NPI 1083599740) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704225570) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Emily Jean Wilson Agnp-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Emily Wilson's NPI number?
The NPI number for Emily Wilson is 1083599740. It was assigned to this individual provider in the NPPES registry on August 11, 2025.
Where is Emily Wilson located?
Emily Wilson practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-5050.
What is Emily Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Emily Wilson enrolled in Medicare?
Yes. Emily 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.
What insurance does Emily Wilson accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company list Emily 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.
Is Emily Wilson affiliated with any hospitals?
According to CMS data, Emily Wilson is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Emily Wilson was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Emily Jean Wilson, AGNP-C · NPI 1083599740
Gerontology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since August 11, 2025.
## Identity
- **NPI:** 1083599740 (Entity type: Individual)
- **Enumerated:** August 11, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 4704225570 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503-4502
- **Phone:** (616) 685-5050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083599740) · Data from the CMS NPPES public registry.