DR. KIMBERLEE VAN WILSON D.O.
NPI 1306134929
Psychiatry & Neurology - Psychiatry in Tempe, AZ

Q: What is Kimberlee Wilson's NPI number?

The NPI number for Kimberlee Wilson is 1306134929. It was assigned to this individual provider in the NPPES registry on July 17, 2011.

Q: What is Kimberlee Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kimberlee Wilson was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 17, 2011PECOS EnrolledAccepts Medicare Assignment

65.57/100

CMS Quality Rating

1500 N PRIEST DR # 109, TEMPE, AZ 85288(702) 589-4871(702) 589-4872 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2026, Mar 2, 2021, Mar 7, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Kimberlee Van Wilson D.o. NPPES

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

DR. KIMBERLEE VAN WILSON D.O. (NPI 1306134929) is an individual psychiatry provider in Tempe, Arizona, licensed in Arizona (5840) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306134929

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. KIMBERLEE VAN WILSONCredential: D.O.

Location Address1500 N PRIEST DR # 109Tempe, AZ 85288-1213

Mailing Address1500 N Priest Dr # 109Tempe, AZ 85288-1213 · (702) 589-4871 · Fax (702) 589-4872

Phone(702) 589-4871

Fax(702) 589-4872

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 17, 2011

Last NPPES UpdateFebruary 5, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1306134929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AZ · 5840

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 5840 (AZ)

1500 N PRIEST DR # 109, Tempe, AZ 85288

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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

Dr. Kimberlee Van Wilson D.o. 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 ID3678890563

PECOS Enrollment IDI20200921001540

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.

Areas of Expertise CMS Part B claims 6

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.

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

4,099 services886 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

3,270 services831 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

63 services41 patients

Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424

Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.

28 services19 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

16 services16 patients

Telephone or internet referral service, 30 minutes 99452

A telephone or internet referral service involves a 30-minute session where you can discuss your health concerns with a healthcare professional. They will listen to your symptoms, answer your questions, and guide you to the appropriate specialist or service for further assistance. This service is safe, confidential, and convenient.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85288 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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.

65.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

33.44

Promoting Interoperability

Improvement Activities

Cost

92.63

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%86 patients

Documentation of Current Medications in the Medical Record

0%1,648 patients1/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

17%257 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 74 patients

0%74 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.

Other Providers at the Same Location NPPES 8

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

MRS. RACHAEL ASHLEY REZZONICO PA-C

Physician Assistant