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DENISA BROOME WILSON FNP-C
NPI 1134871007
Nurse Practitioner - Family in Richland, MS

Active since January 21, 2022PECOS Enrolled

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2022, Jan 21, 2022 (2 updates tracked since 2022).

About Denisa Broome Wilson Fnp-c NPPES

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

DENISA BROOME WILSON FNP-C (NPI 1134871007) is an individual family provider in Richland, Mississippi, licensed in Mississippi (905068) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134871007
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDENISA BROOME WILSONCredential: FNP-C
Location Address907 US 49Richland, MS 39218
Mailing AddressPo Box 490Utica, MS 39175-0490
Phone(601) 374-5263
Sole ProprietorNo
Enumeration DateJanuary 21, 2022
Last NPPES UpdateMay 19, 20222 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1134871007 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 · 905068
907 US 49, Richland, MS 39218
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denisa Broome Wilson Fnp-c 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 Reassignments

2

Medicare enrollment records show Denisa Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Mississippi Civic Improvement Association Inc.
10 mi
Federally Qualified Health Center (FQHC)
145 RAYMOND ROAD
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 69 clinicians in this Medicare group
NPI 1275561862 (601) 372-1800
Fast Pace Mississippi, PLLC
190 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206

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 39218 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.

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 Denisa Wilson's NPI number?

The NPI number for Denisa Wilson is 1134871007. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is Denisa Wilson located?

Denisa Wilson practices at 907 Us 49, Richland, MS 39218. The listed phone number is (601) 374-5263.

What is Denisa Wilson's specialty?

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

Is Denisa Wilson enrolled in Medicare?

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

Which organizations bill Medicare for Denisa Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denisa Wilson reassigns Medicare benefits to 2 organizations: Central Mississippi Civic Improvement Association Inc. (Jackson, MS) and Fast Pace Mississippi, PLLC (Ripley, MS). Each 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 Denisa Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denisa Wilson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Denisa Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denisa Wilson was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.