MONICA WILSON
NPI 1144778101
Nurse Practitioner - Acute Care in Overland Park, KS

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
12330 METCALF AVE STE 420, OVERLAND PARK, KS 66213(913) 491-9100(913) 491-9135 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 27, 2019, Oct 18, 2016, Sep 19, 2016 (3 updates tracked since 2016).

About Monica Wilson NPPES

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

MONICA WILSON (NPI 1144778101) is an individual acute care provider in Overland Park, Kansas, licensed in Missouri (2016032508) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144778101
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMONICA WILSON
Location Address12330 METCALF AVE STE 420Overland Park, KS 66213-1307
Mailing Address901 E 104 Th St, Mailstop 400nKansas City, MO 64131 · (816) 599-9499 · Fax (816) 932-9670
Fax(913) 491-9135
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 19, 2016
Last NPPES UpdateNovember 27, 20193 updates tracked since enumeration
NPI 1144778101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MO · 2016032508
12330 METCALF AVE STE 420, Overland Park, KS 66213

Accepted 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

Monica Wilson 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 ID1951699297
PECOS Enrollment IDI20161019001594, I20161201000208
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
128 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services91 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services69 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
56 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66213 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
12330 METCALF AVE STE 420
OVERLAND PARK, KS 66213
Internal Medicine (Pulmonary Disease)
12330 METCALF AVE STE 420
OVERLAND PARK, KS 66213
Obstetrics & Gynecology
12330 METCALF AVE STE 420
OVERLAND PARK, KS 66213
Obstetrics & Gynecology
12330 METCALF AVE STE 420
OVERLAND PARK, KS 66213
Internal Medicine (Gastroenterology)
12330 METCALF AVE STE 420
OVERLAND PARK, KS 66213

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 Monica Wilson's NPI number?

The NPI number for Monica Wilson is 1144778101. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Monica Wilson located?

Monica Wilson practices at 12330 Metcalf Ave Ste 420, Overland Park, KS 66213. The listed phone number is (913) 491-9100.

What is Monica Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Monica Wilson enrolled in Medicare?

Yes. Monica 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.

What insurance does Monica Wilson accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Monica 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.

Is Monica Wilson affiliated with any hospitals?

According to CMS data, Monica Wilson is affiliated with Saint Luke's South Hospital, Saint Lukes North Hospital and St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Monica Wilson was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.