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LORETTA SUE WILSON N.P
NPI 1407002603
Nurse Practitioner in Gray, KY

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
39 CUMBERLAND GAP PLZ, GRAY, KY 40734(606) 526-9005(606) 526-8606 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loretta Sue Wilson N.p NPPES

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

LORETTA SUE WILSON N.P (NPI 1407002603) is an individual nurse practitioner in Gray, Kentucky, licensed in Kentucky (3005770) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1407002603
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORETTA SUE WILSONCredential: N.P
Location Address39 CUMBERLAND GAP PLZGray, KY 40734-4536
Mailing Address1019 Cumberland Falls Hwy, Suite B201Corbin, KY 40701-2735 · (606) 526-9005 · Fax (606) 526-8606
Phone(606) 526-9005
Fax(606) 526-8606
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 7, 2008
Last NPPES UpdateDecember 10, 2018
✔ NPI 1407002603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in KY · 3005770✔ Licensed in KY · 1083291
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
39 CUMBERLAND GAP PLZ, Gray, KY 40734
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Other Names 1

Former Name (1)Loretta Sue Hensley N.p

Other Identifiers 1

Medicaid7100089740KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Loretta Sue Wilson N.p 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 ID1951467331
PECOS Enrollment IDI20090408000410
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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40734 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

MR. VERNON EUGENE TAYLOR JR. APRN
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Knox County (606) 526-9005
LINDA PEAVLEY MAGGARD ARNP
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Knox County (606) 526-9005
KNOX COUNTY FAMILY PRACTICE CLINIC, INC.
Nurse Practitioner
39 CUMBERLAND GAP PLZ, STE 1
GRAY, KY 40734
Knox County (606) 528-2850
KNOX COUNTY FAMILY PRACTICE CLINIC
Family Medicine
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Knox County (606) 528-2850
MRS. MARY BETH LOPEZ APRN
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Knox County (606) 526-9005
MRS. RITA CAROL GILBERT APRN
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Knox County (606) 275-3415
ANGELA EVERSOLE APRN
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Knox County (606) 526-9005
VERONICA L BOLEY APRN
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Knox County (606) 526-9005

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 Loretta Wilson's NPI number?

The NPI number for Loretta Wilson is 1407002603. It was assigned to this individual provider in the NPPES registry on August 7, 2008. The provider is also known as Loretta Sue Hensley N.P.

Where is Loretta Wilson located?

Loretta Wilson practices at 39 Cumberland Gap Plz, Gray, KY 40734. The listed phone number is (606) 526-9005.

What is Loretta Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Loretta Wilson enrolled in Medicare?

Yes. Loretta 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.

What insurance does Loretta Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Loretta 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.

Is Loretta Wilson affiliated with any hospitals?

According to CMS data, Loretta Wilson is affiliated with Baptist Health Corbin and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Loretta Wilson was last updated on December 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.