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MRS. PETRA JEANNE WILSON NP
NPI 1164992939
Nurse Practitioner - Family in Milford, CT

Active since December 05, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
256 SEASIDE AVE, MILFORD, CT 06460(475) 882-6824 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 13, 2019, Dec 5, 2018 (2 updates tracked since 2018).

About Mrs. Petra Jeanne Wilson Np NPPES

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

MRS. PETRA JEANNE WILSON NP (NPI 1164992939) is an individual family provider in Milford, Connecticut, licensed in Connecticut (7993) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilton, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164992939
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. PETRA JEANNE WILSONCredential: NP
Location Address256 SEASIDE AVEMilford, CT 06460-4602
Mailing Address865 Daniels Farm RdTrumbull, CT 06611-2601 · (717) 718-5778
Phone(475) 882-6824
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 5, 2018
Last NPPES UpdateNovember 13, 20192 updates tracked since enumeration
✔ NPI 1164992939 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 CT · 7993
256 SEASIDE AVE, Milford, CT 06460
Open in Google Maps ↗

Secondary Practice Location 1

Location 170 Danbury RdWilton, CT 06897-4408 · Phone (202) 203-3496 · Fax (203) 633-4235

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Petra Jeanne Wilson Np 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 ID6305179433
PECOS Enrollment IDI20190605000778
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 Petra Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Management Partners LLC
21 mi
Pain Medicine
164 MOUNT PLEASANT RD STE 200
Newtown, CT 06470
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
NPI 1922628957 (203) 885-1441

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

Areas of Expertise CMS Part B claims 9

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.

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.
1,182 services270 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
377 services163 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
257 services95 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
216 services118 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
161 services88 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.
121 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06460 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

CHELCIA FOSTER APRN
Nurse Practitioner (Family)
256 SEASIDE AVE
MILFORD, CT 06460
South Central Connecticut Planning Region (475) 882-6824
TIFFANY TEIXEIRA APRN
Nurse Practitioner (Adult Health)
256 SEASIDE AVE
MILFORD, CT 06460
South Central Connecticut Planning Region (475) 882-6824
MARJORIE ELIIZABETH KING FNP/APRN
Nurse Practitioner (Family)
256 SEASIDE AVE
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 693-2320
CHRISTIE C MARCUS APRN
Nurse Practitioner (Family)
256 SEASIDE AVE
MILFORD, CT 06460
South Central Connecticut Planning Region (475) 882-6824

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 Petra Wilson's NPI number?

The NPI number for Petra Wilson is 1164992939. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Petra Wilson located?

Petra Wilson practices at 256 Seaside Ave, Milford, CT 06460. The listed phone number is (475) 882-6824.

What is Petra Wilson's specialty?

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

Is Petra Wilson enrolled in Medicare?

Yes. Petra 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.

Which organization bills Medicare for Petra Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petra Wilson reassigns Medicare benefits to Pain Management Partners LLC (Newtown, CT). 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 Petra Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Petra Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Petra 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 Petra Wilson was last updated on November 13, 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.