LAUREN WILSON
NPI 1255874053
Nurse Practitioner in Philadelphia, PA

Active since November 28, 2016PECOS Enrolled
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD, 4TH FLOOR, PHILADELPHIA, PA 19104(215) 349-8222 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lauren Wilson NPPES

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

LAUREN WILSON (NPI 1255874053) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP016944) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255874053
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAUREN WILSON
Location Address3400 CIVIC CENTER BLVD, 4TH FLOORPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 4th FloorPhiladelphia, PA 19104-5127
Sole ProprietorNo
Enumeration DateNovember 28, 2016
Last NPPES UpdateDecember 9, 2016
NPI 1255874053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP016944
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Wilson 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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Rheumatology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, 5TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Nurse Practitioner
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
3400 CIVIC CENTER BLVD, 5 WOOD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

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 Lauren Wilson's NPI number?

The NPI number for Lauren Wilson is 1255874053. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Lauren Wilson located?

Lauren Wilson practices at 3400 Civic Center Blvd 4th Floor, Philadelphia, PA 19104. The listed phone number is (215) 349-8222.

What is Lauren Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lauren Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lauren Wilson was last updated on December 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.