MARLENE ELIZABETH WILSON PMHNP-BC
NPI 1205175304
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Marlene Wilson's NPI number?

The NPI number for Marlene Wilson is 1205175304. It was assigned to this individual provider in the NPPES registry on February 8, 2013.

Q: What is Marlene Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Marlene Wilson was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.

Active since February 08, 2013PECOS EnrolledAccepts Medicare Assignment

11022 S 51ST ST STE 250, PHOENIX, AZ 85044(480) 939-6137(602) 429-8445 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2021, Feb 3, 2020, Jan 28, 2020 and 2 more (5 updates tracked since 2019).

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About Marlene Elizabeth Wilson Pmhnp-bc NPPES

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

MARLENE ELIZABETH WILSON PMHNP-BC (NPI 1205175304) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (236775) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205175304

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARLENE ELIZABETH WILSONCredential: PMHNP-BC

Location Address11022 S 51ST ST STE 250Phoenix, AZ 85044-4308

Mailing Address11022 S 51st St Ste 250Phoenix, AZ 85044-4308 · (480) 939-6137 · Fax (602) 429-8445

Phone(480) 939-6137

Fax(602) 429-8445

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 8, 2013

Last NPPES UpdateJune 15, 20265 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1205175304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 236775

Also ListedRegistered NurseTaxonomy 163W00000X · License RN174104 (AZ)

11022 S 51ST ST STE 250, Phoenix, AZ 85044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Marlene Elizabeth Wilson Pmhnp-bc 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 ID9830528587

PECOS Enrollment IDI20200401002919

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 85044 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 10

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

MRS. JENNIFER LINDSEY ATWOOD GREEN RN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)