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KATHRYN ROSE WILSON NP
NPI 1184491201
Nurse Practitioner - Pediatrics in Fitchburg, MA

Active since December 08, 2023PECOS Enrolled
19 PIERCE AVE, FITCHBURG, MA 01420(978) 577-0437(978) 345-4730 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathryn Rose Wilson Np NPPES

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

KATHRYN ROSE WILSON NP (NPI 1184491201) is an individual pediatrics provider in Fitchburg, Massachusetts, licensed in Massachusetts (RN2310642) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184491201
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHRYN ROSE WILSONCredential: NP
Location Address19 PIERCE AVEFitchburg, MA 01420-7160
Mailing Address19 Pierce AveFitchburg, MA 01420-7160 · (785) 770-4379 · Fax (978) 345-4730
Phone(978) 577-0437
Fax(978) 345-4730
Sole ProprietorNo
Enumeration DateDecember 8, 2023
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1184491201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · RN2310642
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN2310642 (MA)
19 PIERCE AVE, Fitchburg, MA 01420
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Rose Wilson Np 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 Reassignment

Medicare enrollment records show Kathryn Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics West, PC
19 mi
Pediatrics
133 LITTLETON ROAD, STE 101
Westford, MA 01886
  • Reassigned Medicare billing, Massachusetts enrollment
  • 35 clinicians in this Medicare group
NPI 1598850281 (978) 577-0437

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 01420 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 3

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

MATTHEW MARK MIZZONI DO
Pediatrics
19 PIERCE AVE
FITCHBURG, MA 01420
Worcester County (978) 577-0437
SUSAN VOUTE M.D.
Pediatrics
19 PIERCE AVE
FITCHBURG, MA 01420
Worcester County (978) 577-0437
TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND L.L.C
Home Health
19 PIERCE AVE, SUITE B
FITCHBURG, MA 01420
Worcester County (978) 342-2031

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 Kathryn Wilson's NPI number?

The NPI number for Kathryn Wilson is 1184491201. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Kathryn Wilson located?

Kathryn Wilson practices at 19 Pierce Ave, Fitchburg, MA 01420. The listed phone number is (978) 577-0437.

What is Kathryn Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathryn Wilson enrolled in Medicare?

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

Which organization bills Medicare for Kathryn Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Wilson reassigns Medicare benefits to Pediatrics West, PC (Westford, MA). 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 Kathryn Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Wilson was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.