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MRS. MARJORIE WILSON N.P
NPI 1174043491
Nurse Practitioner - Adult Health in Staten Island, NY

Active since June 27, 2017PECOS Enrolled
56 ELIZABETH STREET, STATEN ISLAND, NY 10310(646) 229-0941 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 27, 2017 (2 updates tracked since 2017).

About Mrs. Marjorie Wilson N.p NPPES

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

MRS. MARJORIE WILSON N.P (NPI 1174043491) is an individual adult health provider in Staten Island, New York, licensed in New York (F307602) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174043491
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MARJORIE WILSONCredential: N.P
Location Address56 ELIZABETH STREETStaten Island, NY 10310
Mailing Address56 Elizabeth StStaten Island, NY 10310-1934 · (646) 229-0941
Phone(646) 229-0941
Sole ProprietorYes
Enumeration DateJune 27, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1174043491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F307602
56 ELIZABETH STREET, Staten Island, NY 10310
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marjorie Wilson N.p 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10310 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Marjorie Wilson's NPI number?

The NPI number for Marjorie Wilson is 1174043491. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Marjorie Wilson located?

Marjorie Wilson practices at 56 Elizabeth Street, Staten Island, NY 10310. The listed phone number is (646) 229-0941.

What is Marjorie Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marjorie Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Marjorie Wilson was last updated on July 21, 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.