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MS. MARY DEBORAH WILSON PMHNP-BC
NPI 1306051313
Nurse Practitioner - Psychiatric/Mental Health in Berlin, MD

Active since May 12, 2007PECOS EnrolledAccepts Medicare Assignment
11022 NICHOLAS LN, UNIT 2 SUITE 1, BERLIN, MD 21811(410) 641-5190(410) 641-5463 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 12, 2020, May 22, 2019, Jul 21, 2017 and 1 more (4 updates tracked since 2017).

About Ms. Mary Deborah Wilson Pmhnp-bc NPPES

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

MS. MARY DEBORAH WILSON PMHNP-BC (NPI 1306051313) is an individual psychiatric/mental health provider in Berlin, Maryland, licensed in Maryland (R056757) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1306051313
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MARY DEBORAH WILSONCredential: PMHNP-BC
Location Address11022 NICHOLAS LN, UNIT 2 SUITE 1Berlin, MD 21811-3353
Mailing Address11022 Nicholas Ln, Unit 2 Suite 1Berlin, MD 21811-3352 · (410) 641-5190 · Fax (410) 641-5463
Phone(410) 641-5190
Fax(410) 641-5463
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 12, 2007
Last NPPES UpdateJune 12, 20204 updates tracked since enumeration
NPPES CertifiedJune 12, 2020
✔ NPI 1306051313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R056757
Also ListedNurse PractitionerTaxonomy 363L00000X · License R056757 (MD)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License R056757 (MD)
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License R056757 (MD)
11022 NICHOLAS LN, Berlin, MD 21811
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Other Names 1

Other Name (5)Deborah Wilson Ms,rn, Crnp-bc

Other Identifiers 9

Other259147-000MD · Magellan Behavioral Health
Medicaid609550004MD
Other517251MD · Optum
Other7840093MD · Aetna
Other499188MD · Beacon Health Options
Medicaid609550001MD
Other346646MD · Managed Health Net/tricare
Medicaid609550002MD
OtherR968MD · Carefirst Of Maryland

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mary Deborah Wilson Pmhnp-bc 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 ID2264580968
PECOS Enrollment IDI20090507000444
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 21811 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

MARY ELIZABETH GARDNER MPT
Physical Therapist
11022 NICHOLAS LN, SUITE 1
OCEAN PINES, MD 21811
Worcester County (410) 822-4613

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 Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1306051313. It was assigned to this individual provider in the NPPES registry on May 12, 2007. The provider is also known as Deborah Wilson Ms,rn, Crnp-Bc.

Where is Mary Wilson located?

Mary Wilson practices at 11022 Nicholas Ln Unit 2 Suite 1, Berlin, MD 21811. The listed phone number is (410) 641-5190.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Wilson enrolled in Medicare?

Yes. Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.