MR. WILLIAM EVAN WILSON I PMHNP
NPI 1215439203
Nurse Practitioner - Psychiatric/Mental Health in La Follette, TN

Q: What is William Wilson's NPI number?

The NPI number for William Wilson is 1215439203. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Q: What is William 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 William Wilson was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 06, 2018PECOS Enrolled

130 INDEPENDENCE LN, LA FOLLETTE, TN 37766(423) 562-1705 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. William Evan Wilson I Pmhnp NPPES

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

MR. WILLIAM EVAN WILSON I PMHNP (NPI 1215439203) is an individual psychiatric/mental health provider in La Follette, Tennessee, licensed in Tennessee (23931) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215439203

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. WILLIAM EVAN WILSON ICredential: PMHNP

Location Address130 INDEPENDENCE LNLa Follette, TN 37766-3073

Mailing Address130 Independence LnLa Follette, TN 37766-3073 · (423) 562-1705

Phone(423) 562-1705

Sole ProprietorNo

Enumeration DateMarch 6, 2018

✔ NPI 1215439203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in TN · 23931

130 INDEPENDENCE LN, La Follette, TN 37766

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Evan Wilson I Pmhnp 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 37766 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 17

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

GERALD G OSBORN DO

Psychiatry & Neurology (Psychiatry)