MONIQUE JUSTINE WILSON MD
NPI 1114181914
Dermatology in Los Gatos, CA

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
79.58/100
CMS Quality Rating
15055 LOS GATOS BLVD STE 100, LOS GATOS, CA 95032(408) 356-1000(408) 356-1125 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2022, Apr 6, 2021, Aug 15, 2019 (3 updates tracked since 2019).

About Monique Justine Wilson Md NPPES

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

MONIQUE JUSTINE WILSON MD (NPI 1114181914) is an individual dermatology provider in Los Gatos, California, licensed in California (A143347) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Columbia University College Of Physicians And Surgeons (2008).

NPPES Registry Identity

NPI1114181914
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMONIQUE JUSTINE WILSONCredential: MD
Location Address15055 LOS GATOS BLVD STE 100Los Gatos, CA 95032-2056
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(408) 356-1125
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2008
Enumeration DateJuly 11, 2008
Last NPPES UpdateJuly 8, 20223 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
NPI 1114181914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A143347
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

15055 LOS GATOS BLVD STE 100, Los Gatos, CA 95032

Other Names 1

Former Name (1)Monique Justine Vanaman Md

Secondary Practice Locations 2

Location 115055 Los Gatos Blvd Ste 240Los Gatos, CA 95032-2056 · Phone (408) 356-1000 · Fax (408) 356-1125
Location 215055 Los Gatos Blvd Ste 310Los Gatos, CA 95032-2056 · Phone (408) 356-1119 · Fax (408) 356-1125

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

Monique Justine Wilson Md 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 ID3173833233
PECOS Enrollment IDI20170223002369
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95032 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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.

79.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.42
Promoting Interoperability98
Improvement Activities40
Cost40.18

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.

Physician Assistant (Surgical)
15055 LOS GATOS BLVD STE 100
LOS GATOS, CA 95032
Physician Assistant
15055 LOS GATOS BLVD STE 100
LOS GATOS, CA 95032
Dermatology
15055 LOS GATOS BLVD STE 100
LOS GATOS, CA 95032
Family Medicine
15055 LOS GATOS BLVD STE 100
LOS GATOS, CA 95032
Dermatology
15055 LOS GATOS BLVD STE 100
LOS GATOS, CA 95032
Physician Assistant
15055 LOS GATOS BLVD STE 100
LOS GATOS, CA 95032

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 Monique Wilson's NPI number?

The NPI number for Monique Wilson is 1114181914. It was assigned to this individual provider in the NPPES registry on July 11, 2008. The provider is also known as Monique Justine Vanaman MD.

Where is Monique Wilson located?

Monique Wilson practices at 15055 Los Gatos Blvd Ste 100, Los Gatos, CA 95032. The listed phone number is (408) 356-1000.

What is Monique Wilson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Monique Wilson enrolled in Medicare?

Yes. Monique 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 Monique Wilson was last updated on July 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.