KELLY WILSON
NPI 1306612254
Counselor - Mental Health in Dubuque, IA
About Kelly Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY WILSON (NPI 1306612254) is an individual mental health provider in Dubuque, Iowa, licensed in Iowa (123862) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anamosa, IA 52205
- Reassigned Medicare billing, Iowa enrollment
- 21 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Wilson's NPI number?
The NPI number for Kelly Wilson is 1306612254. It was assigned to this individual provider in the NPPES registry on December 1, 2023.
Where is Kelly Wilson located?
Kelly Wilson practices at 210 Jones St Ste 108, Dubuque, IA 52001. The listed phone number is (563) 265-8694.
What is Kelly Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Wilson enrolled in Medicare?
Yes. Kelly Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wilson reassigns Medicare benefits to Rise Counseling & Consulting, PLLC (Anamosa, IA). 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 Kelly Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Wilson accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Kelly 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 Kelly Wilson was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelly Wilson · NPI 1306612254
Mental Health provider in Dubuque, Iowa. Individual provider, active in the CMS NPPES registry since December 1, 2023.
## Identity
- **NPI:** 1306612254 (Entity type: Individual)
- **Enumerated:** December 1, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 123862 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 210 JONES ST STE 108, Dubuque, IA 52001-7615
- **Phone:** (563) 265-8694
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rise Counseling & Consulting, PLLC (NPI 1659031094, Anamosa, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1306612254) · Data from the CMS NPPES public registry.