PREMA WILSON AGACNP
NPI 1356092894
Nurse Practitioner - Acute Care in Tyler, TX

Q: What is Prema Wilson's NPI number?

The NPI number for Prema Wilson is 1356092894. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Q: What is Prema Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Prema Wilson was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 17, 2022PECOS EnrolledAccepts Medicare Assignment

800 E DAWSON ST, TYLER, TX 75701(903) 593-8441 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2022, Jan 17, 2022 (2 updates tracked since 2022).

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About Prema Wilson Agacnp NPPES

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

PREMA WILSON AGACNP (NPI 1356092894) is an individual acute care provider in Tyler, Texas, licensed in Texas (1057205) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1356092894

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NamePREMA WILSONCredential: AGACNP

Location Address800 E DAWSON STTyler, TX 75701-2036

Mailing Address800 E Dawson StTyler, TX 75701-2036 · (903) 593-8441

Phone(903) 593-8441

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 17, 2022

Last NPPES UpdateMay 27, 20222 updates tracked since enumeration

NPPES CertifiedMay 27, 2022

✔ NPI 1356092894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1057205

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1057205 (TX)

800 E DAWSON ST, Tyler, TX 75701

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Secondary Practice Location 1

Location 1700 E Marshall AveLongview, TX 75601-5580 · Phone (903) 315-1488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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

Prema Wilson Agacnp 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 ID3678966785

PECOS Enrollment IDI20220214002329

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

21 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

KIRBY KILE CRNA

Anesthesiology