MS. TYNAKA KWANS WILSON APRN
NPI 1295217545
Nurse Practitioner - Family in Florence, SC

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
2724 W PALMETTO ST STE 12, FLORENCE, SC 29501(843) 687-9852(937) 606-3077 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Jun 4, 2024, Nov 8, 2022 and 2 more (5 updates tracked since 2018).

About Ms. Tynaka Kwans Wilson Aprn NPPES

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

MS. TYNAKA KWANS WILSON APRN (NPI 1295217545) is an individual family provider in Florence, South Carolina, licensed in South Carolina (22090) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295217545
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TYNAKA KWANS WILSONCredential: APRN
Location Address2724 W PALMETTO ST STE 12Florence, SC 29501-4909
Mailing Address2724 W Palmetto St Ste 12Florence, SC 29501-4909 · (843) 687-6952 · Fax (937) 606-3077
Fax(937) 606-3077
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 4, 2018
Last NPPES UpdateNovember 4, 20245 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1295217545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 22090
2724 W PALMETTO ST STE 12, Florence, SC 29501

Secondary Practice Locations 2

Location 1711 Dixie StFlorence, SC 29501-2321 · Phone (843) 206-5346
Location 2111 Doctor CirColumbia, SC 29203-6502 · Phone (800) 491-0909

Accepted 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

Ms. Tynaka Kwans 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 ID547596751
PECOS Enrollment IDI20190725002723
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

2

Medicare enrollment records show Tynaka Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
1116 COURTLAND AVE.
Florence, SC 29505
  • Reassigned Medicare billing, South Carolina enrollment
  • 2 clinicians in this Medicare group
Family Medicine
111 DOCTOR CIR
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 631 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29501 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 2

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

Nurse Practitioner (Family)
2724 W PALMETTO ST STE 12
FLORENCE, SC 29501
Clinical Medical Laboratory
2724 W PALMETTO ST STE 12
FLORENCE, SC 29501

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 Tynaka Wilson's NPI number?

The NPI number for Tynaka Wilson is 1295217545. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Tynaka Wilson located?

Tynaka Wilson practices at 2724 W Palmetto St Ste 12, Florence, SC 29501. The listed phone number is (843) 687-9852.

What is Tynaka Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tynaka Wilson enrolled in Medicare?

Yes. Tynaka 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 Tynaka Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tynaka Wilson reassigns Medicare benefits to 2 organizations: Virtuous Primary Care (Florence, SC) and Sc House Calls Inc (Columbia, SC). 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 Tynaka Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tynaka Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Tynaka 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.

When was this NPI record last updated?

The NPPES record for Tynaka Wilson was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.