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KATHERINE ROSE WILSON CFNP
NPI 1104292895
Nurse Practitioner in New Albany, MS

Active since August 17, 2015PECOS Enrolled
117 FAIRFIELD DR, NEW ALBANY, MS 38652(662) 534-0029 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katherine Rose Wilson Cfnp NPPES

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

KATHERINE ROSE WILSON CFNP (NPI 1104292895) is an individual nurse practitioner in New Albany, Mississippi, licensed in Mississippi (R891627) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104292895
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE ROSE WILSONCredential: CFNP
Location Address117 FAIRFIELD DRNew Albany, MS 38652-3107
Mailing Address1039 Road 1275Baldwyn, MS 38824-6881 · (662) 397-3057
Phone(662) 534-0029
Sole ProprietorNo
Enumeration DateAugust 17, 2015
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1104292895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · R891627
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
117 FAIRFIELD DR, New Albany, MS 38652
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Other Names 1

Former Name (1)Katherine Blassingame Cfnp

Secondary Practice Locations 3

Location 12601 Getwell Rd Ste 3Corinth, MS 38834-6762 · Phone (662) 331-8868 · Fax (662) 534-0008
Location 21102 Commonwealth BlvdTupelo, MS 38804-9301 · Phone (662) 346-8400 · Fax (662) 534-0008
Location 3621 Highway 7 S Ste GHolly Springs, MS 38635-9108 · Phone (662) 333-1041 · Fax (662) 534-0008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Rose Wilson Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Albany Ob/Gyn Clinic PC
Same address
Clinic/Center
117 FAIRFIELD DR
New Albany, MS 38652
  • Reassigned Medicare billing, Mississippi enrollment
  • 8 clinicians in this Medicare group
NPI 1851573737 (662) 534-0029

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38652 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.

Other Providers at the Same Location NPPES 6

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

TRACY MITCHELL FNP-BC
Nurse Practitioner
117 FAIRFIELD DR
NEW ALBANY, MS 38652
Union County (662) 534-0029
SARA CAMPBELL M.D.
Obstetrics & Gynecology
117 FAIRFIELD DR
NEW ALBANY, MS 38652
Union County (662) 534-0029
MS. ELIZABETH HERRINGTON HARRISON FNP-C
Nurse Practitioner
117 FAIRFIELD DR
NEW ALBANY, MS 38652
Union County (662) 534-0029
CHELSEA LEANN MCCREARY FNP-C
Nurse Practitioner (Family)
117 FAIRFIELD DR
NEW ALBANY, MS 38652
Union County (662) 534-0029
NEW ALBANY OB/GYN CLINIC PC
Clinic/Center
117 FAIRFIELD DR
NEW ALBANY, MS 38652
Union County (662) 534-0029
GREGORY E MITCHELL MD
Obstetrics & Gynecology
117 FAIRFIELD DR
NEW ALBANY, MS 38652
Union County (662) 534-0029

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 Katherine Wilson's NPI number?

The NPI number for Katherine Wilson is 1104292895. It was assigned to this individual provider in the NPPES registry on August 17, 2015. The provider is also known as Katherine Blassingame Cfnp.

Where is Katherine Wilson located?

Katherine Wilson practices at 117 Fairfield Dr, New Albany, MS 38652. The listed phone number is (662) 534-0029.

What is Katherine Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katherine Wilson enrolled in Medicare?

Yes. Katherine Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Wilson reassigns Medicare benefits to New Albany Ob/Gyn Clinic PC (New Albany, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Wilson was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.