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DEIDRE WILSON FNP-C, A-GNPN, MSN
NPI 1245692094
Nurse Practitioner - Adult Health in Arlington, TX

Active since March 22, 2016PECOS Enrolled
4000 EMBARCADERO DR, ARLINGTON, TX 76014(817) 542-4800(817) 524-4089 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 27, 2018, Mar 22, 2016 (2 updates tracked since 2016).

About Deidre Wilson Fnp-c, A-gnpn, Msn NPPES

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

DEIDRE WILSON FNP-C, A-GNPN, MSN (NPI 1245692094) is an individual adult health provider in Arlington, Texas, licensed in Texas (AP136799) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1245692094
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDEIDRE WILSONCredential: FNP-C, A-GNPN, MSN
Location Address4000 EMBARCADERO DRArlington, TX 76014-4101
Mailing Address752 N Main St Unit 1067Mansfield, TX 76063-3280 · Fax (843) 790-1827
Phone(817) 542-4800
Fax(817) 524-4089
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
✔ NPI 1245692094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP136799
Also ListedRegistered NurseTaxonomy 163W00000X · License 843837 (TX)
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP136799 (TX)
4000 EMBARCADERO DR, Arlington, TX 76014
Open in Google Maps ↗

Secondary Practice Location 1

Location 18000 W Ih 10San Antonio, TX 78230-3868 · Phone (945) 301-1114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deidre Wilson Fnp-c, A-gnpn, Msn 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 76014 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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

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

EVERNORTH DIRECT HEALTH LLC
Clinic/Center
4000 EMBARCADERO DR
ARLINGTON, TX 76014
Tarrant County (817) 524-4100

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 Deidre Wilson's NPI number?

The NPI number for Deidre Wilson is 1245692094. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Deidre Wilson located?

Deidre Wilson practices at 4000 Embarcadero Dr, Arlington, TX 76014. The listed phone number is (817) 542-4800.

What is Deidre Wilson's specialty?

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

Is Deidre Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Deidre Wilson was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.