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DENISE V WILSON CRNP
NPI 1255370524
Registered Nurse in Lavale, MD

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
957 NATIONAL HWY STE 3, LAVALE, MD 21502(240) 362-7128(240) 362-7129 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2017, Feb 12, 2016 (2 updates tracked since 2016).

About Denise V Wilson Crnp NPPES

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

DENISE V WILSON CRNP (NPI 1255370524) is an individual registered nurse in Lavale, Maryland, licensed in Maryland (R137604) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1255370524
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameDENISE V WILSONCredential: CRNP
Location Address957 NATIONAL HWY STE 3Lavale, MD 21502-7356
Mailing Address957 National Highway, Ste 3Lavale, MD 21502 · (240) 362-7128 · Fax (240) 362-7129
Phone(240) 362-7128
Fax(240) 362-7129
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 12, 20172 updates tracked since enumeration
✔ NPI 1255370524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MD · R137604
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
957 NATIONAL HWY STE 3, Lavale, MD 21502
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Other Identifiers 3

Other187329YDSJMD · Medicare-unspecified
Medicare ID-Type Unspecified754LL498MD · Medicare Number
Medicare UPINQ45567MD

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

Denise V Wilson Crnp 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 ID6204871767
PECOS Enrollment IDI20050624000381
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 Denise Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Proactive Pain And Neurology, LLC
1.3 mi
Neurology
921 SETON DR
Cumberland, MD 21502
  • Reassigned Medicare billing, Maryland enrollment
  • 6 clinicians in this Medicare group
NPI 1417460619 (240) 522-0098

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
988 services509 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
241 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
172 services157 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
74 services68 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
49 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
11%28 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%43 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%280 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
22%551 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%24 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
39%348 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
61%236 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%236 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
26%236 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims25 services$6.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims41 services$1.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$85.07 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,200 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$23.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GARRETT ANESTHESIA AND PAIN MANAGEMENT
Pain Medicine (Pain Medicine)
957 NATIONAL HWY STE 3
LAVALE, MD 21502
Allegany County (240) 362-7128

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 Denise Wilson's NPI number?

The NPI number for Denise Wilson is 1255370524. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Denise Wilson located?

Denise Wilson practices at 957 National Hwy Ste 3, Lavale, MD 21502. The listed phone number is (240) 362-7128.

What is Denise Wilson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Denise Wilson enrolled in Medicare?

Yes. Denise 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 organization bills Medicare for Denise Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Wilson reassigns Medicare benefits to Proactive Pain And Neurology, LLC (Cumberland, MD). 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 Denise Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Denise Wilson affiliated with any hospitals?

According to CMS data, Denise Wilson is affiliated with Western Maryland Regional Medical Center, West Virginia University Hospitals, Inc and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Denise Wilson was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.