TANYANEKA WILSON FNP-BC
NPI 1104243831
Nurse Practitioner - Family in Meridian, MS

Q: What is Tanyaneka Wilson's NPI number?

The NPI number for Tanyaneka Wilson is 1104243831. It was assigned to this individual provider in the NPPES registry on March 19, 2014.

Q: What is Tanyaneka 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 Tanyaneka Wilson was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 19, 2014PECOS EnrolledAccepts Medicare Assignment

2701 DAVIS ST, MERIDIAN, MS 39301(601) 693-0118(844) 778-8922 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, May 22, 2019, Feb 7, 2017 (3 updates tracked since 2017).

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About Tanyaneka Wilson Fnp-bc NPPES

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

TANYANEKA WILSON FNP-BC (NPI 1104243831) is an individual family provider in Meridian, Mississippi, licensed in Mississippi (R862382) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Ochsner Rush Hospital, and is a graduate of University Of South Alabama College Of Medicine (2013).

NPPES Registry Identity

NPI1104243831

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTANYANEKA WILSONCredential: FNP-BC

Location Address2701 DAVIS STMeridian, MS 39301-5708

Mailing Address2701 Davis StMeridian, MS 39301-5708 · (601) 693-0118 · Fax (601) 553-8175

Phone(601) 693-0118

Fax(844) 778-8922

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2013

Enumeration DateMarch 19, 2014

Last NPPES UpdateMay 3, 20243 updates tracked since enumeration

NPPES CertifiedMay 3, 2024

✔ NPI 1104243831 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 MS · R862382

2701 DAVIS ST, Meridian, MS 39301

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Other Identifiers 1

Medicaid004671271MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.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

Tanyaneka Wilson Fnp-bc 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 ID7719100890

PECOS Enrollment IDI20140516001496

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.

Hospital Affiliations CMS Care Compare 2

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

Ochsner Rush Hospital

Acute Care Hospitals · Meridian, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250069

Location1314 19th AveMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Anderson Regional Medical Center

Acute Care Hospitals · Meridian, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250104

Location2124 14th StreetMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39301 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers17 claims52 services$5.58 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers14 claims21 services$0.83 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers14 claims14 services$39.89 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$103.87 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier25 claims7,650 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier25 claims25 services$25.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MISS MATTIE P HOPSON MSN, APRN, FNP-C

Nurse Practitioner (Family)