MS. LYDIA KAY WILSON GNP
NPI 1093729824
Nurse Practitioner - Gerontology in Reseda, CA

Q: What is Lydia Wilson's NPI number?

The NPI number for Lydia Wilson is 1093729824. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Lydia 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 Lydia Wilson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 28, 2006PECOS EnrolledAccepts Medicare Assignment

4.52/100

CMS Quality Rating

18855 VICTORY BLVD, ATTN: BILLING DEPARTMENT, RESEDA, CA 91335(818) 774-3354(818) 757-4401 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Dec 10, 2019 (2 updates tracked since 2019).

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About Ms. Lydia Kay Wilson Gnp NPPES

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

MS. LYDIA KAY WILSON GNP (NPI 1093729824) is an individual gerontology provider in Reseda, California, licensed in California (513626) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1093729824

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMS. LYDIA KAY WILSONCredential: GNP

Location Address18855 VICTORY BLVD, ATTN: BILLING DEPARTMENTReseda, CA 91335-6445

Mailing Address17075 Devonshire St, Ste 204Northridge, CA 91325-5408 · (818) 368-8929

Phone(818) 774-3354

Fax(818) 757-4401

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 28, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 10, 2019

✔ NPI 1093729824 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 CA · 513626

18855 VICTORY BLVD, Reseda, CA 91335

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Other Identifiers 3

Other11725CA · N.p. Furnishing

Other513626CA · State License #

OtherP00705925CA · Railroad Medicare

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

Ms. Lydia Kay Wilson Gnp 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 ID7012914039

PECOS Enrollment IDI20061103000197

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

5,945 services666 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

306 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91335 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

4.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

15.07

Other Providers at the Same Location NPPES 9

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

EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING

Nursing Facility/Intermediate Care Facility

18855 VICTORY BLVD
RESEDA, CA 91335

Los Angeles County (818) 774-3000

MR. THOMAS N DAO DPT

Physical Therapist

18855 VICTORY BLVD
RESEDA, CA 91335

Los Angeles County (818) 774-3135

DR. SHAHIN DELKHAH M.D.

Internal Medicine

18855 VICTORY BLVD, ATTN BILLING DEPARTMENT
RESEDA, CA 91335

Los Angeles County (818) 774-3354

NOACHIM MARCO M.D.

Internal Medicine

18855 VICTORY BLVD
RESEDA, CA 91335

Los Angeles County (818) 774-3032

STEVY ASWANI M.S., CCC-SLP

Speech-Language Pathologist

18855 VICTORY BLVD
RESEDA, CA 91335

Los Angeles County (855) 227-3745

JHA GERIATRIC SERVICES, INC

Clinic/Center

18855 VICTORY BLVD
RESEDA, CA 91335

Los Angeles County (818) 774-3354

DR. ISAAC VIELMA M.D.

Family Medicine (Hospice and Palliative Medicine)

18855 VICTORY BLVD
RESEDA, CA 91335

Los Angeles County (818) 920-8070

DR. ELIZABETH CAMARA OD

Optometrist

18855 VICTORY BLVD
RESEDA, CA 91335

Los Angeles County (310) 751-6704

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 Lydia Wilson's NPI number?

The NPI number for Lydia Wilson is 1093729824. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Lydia Wilson located?

Lydia Wilson practices at 18855 Victory Blvd Attn: Billing Department, Reseda, CA 91335. The listed phone number is (818) 774-3354.

What is Lydia Wilson's specialty?

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

Is Lydia Wilson enrolled in Medicare?

Yes. Lydia 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.

When was this NPI record last updated?

The NPPES record for Lydia Wilson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.