CAROLE WILSON NP
NPI 1093820896
Nurse Practitioner - Family in Marion, IN

Q: What is Carole Wilson's NPI number?

The NPI number for Carole Wilson is 1093820896. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Carole Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carole Wilson was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment

83.71/100

CMS Quality Rating

1130 N BALDWIN AVE, MARION, IN 46952(765) 660-7480(765) 382-4495 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Carole Wilson Np NPPES

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

CAROLE WILSON NP (NPI 1093820896) is an individual family provider in Marion, Indiana, licensed in Indiana (71001615A) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Community Hospital Of Anderson And Madison County, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093820896

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCAROLE WILSONCredential: NP

Location Address1130 N BALDWIN AVEMarion, IN 46952-2536

Mailing Address330 N Wabash, Ste G20Marion, IN 46952-2600 · (765) 660-7616 · Fax (765) 651-7313

Phone(765) 660-7480

Fax(765) 382-4495

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 20, 2006

Last NPPES UpdateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1093820896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71001615A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71001615 (IN)

1130 N BALDWIN AVE, Marion, IN 46952

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1441 N Wabash AveMarion, IN 46952-2690 · Phone (765) 660-6000

Location 23125 S Scatterfield RdAnderson, IN 46013-1802 · Phone (765) 298-4790

Other Identifiers 1

Medicaid200487860IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Carole Wilson Np 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 ID1355329830

PECOS Enrollment IDI20040712000109

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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

87 services84 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

28 services28 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

26 services26 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

26 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services22 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150113

Location1515 N Madison AveAnderson, IN 46011 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46952 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

83.71/100

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

Scored as part of a group practice

Quality

69.94

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 5

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

COLT ALLEN CANSLER PA-C

Physician Assistant