KATHERINE ROSE WILSON CFNP
NPI 1104292895
Nurse Practitioner in New Albany, MS
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
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Rose Wilson Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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.
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 8 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.