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LUCY ZIMMER WILSON APRN
NPI 1205988516
Advanced Practice Midwife in Laconia, NH

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
734 NORTH MAIN STREET, LACONIA, NH 03246(603) 527-1855(603) 527-1872 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lucy Zimmer Wilson Aprn NPPES

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

LUCY ZIMMER WILSON APRN (NPI 1205988516) is an individual advanced practice midwife in Laconia, New Hampshire, licensed in New Hampshire (055684-23) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and is a graduate of University Of South Carolina School Of Medicine (2005).

NPPES Registry Identity

NPI1205988516
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLUCY ZIMMER WILSONCredential: APRN
Location Address734 NORTH MAIN STREETLaconia, NH 03246-2777
Mailing AddressPo Box 310Laconia, NH 03247-1327 · (603) 524-3211 · Fax (603) 527-7038
Phone(603) 527-1855
Fax(603) 527-1872
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2005
Enumeration DateJanuary 17, 2007
Last NPPES UpdateDecember 8, 2011
✔ NPI 1205988516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NH · 055684-23
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
734 NORTH MAIN STREET, Laconia, NH 03246
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Other Names 1

Other Name (5)Marion Lucile Zimmer Wilson Cnm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, WellSense Health Plan.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

Lucy Zimmer Wilson Aprn 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 ID5092867663
PECOS Enrollment IDI20090713000041
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 Reassignments

3

Medicare enrollment records show Lucy Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concord Hospital-Laconia
0.5 mi
Family Medicine
85 SPRING ST
Laconia, NH 03246
  • Reassigned Medicare billing, New Hampshire enrollment
  • 409 clinicians in this Medicare group
NPI 1053993741 (603) 524-3211
Concord Hospital-Franklin
10 mi
Critical Access
15 AIKEN AVE
Franklin, NH 03235
  • Reassigned Medicare billing, New Hampshire enrollment
  • 209 clinicians in this Medicare group
NPI 1700960895 (903) 934-2060
Concord Hospital, Inc.
24 mi
Emergency Medicine
250 PLEASANT ST
Concord, NH 03301
  • Reassigned Medicare billing, New Hampshire enrollment
  • 636 clinicians in this Medicare group
NPI 1194778571 (603) 230-7429

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

Hospital Affiliations CMS Care Compare

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

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03246 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. ELISABETH A POTT-GRINSTEIN MD
Obstetrics & Gynecology
734 NORTH MAIN STREET
LACONIA, NH 03246
Belknap County (603) 527-1855

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 Lucy Wilson's NPI number?

The NPI number for Lucy Wilson is 1205988516. It was assigned to this individual provider in the NPPES registry on January 17, 2007. The provider is also known as Marion Lucile Zimmer Wilson Cnm.

Where is Lucy Wilson located?

Lucy Wilson practices at 734 North Main Street, Laconia, NH 03246. The listed phone number is (603) 527-1855.

What is Lucy Wilson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lucy Wilson enrolled in Medicare?

Yes. Lucy 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 organizations bill Medicare for Lucy Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucy Wilson reassigns Medicare benefits to 3 organizations: Concord Hospital-Laconia (Laconia, NH), Concord Hospital-Franklin (Franklin, NH) and Concord Hospital, Inc. (Concord, NH). Each 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 Lucy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucy Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Lucy 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 Lucy Wilson affiliated with any hospitals?

According to CMS data, Lucy Wilson is affiliated with Concord Hospital- Laconia.

When was this NPI record last updated?

The NPPES record for Lucy Wilson was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.