HOLLY WILSON NP-C
NPI 1407407273
Nurse Practitioner in Booneville, MS

Q: What is Holly Wilson's NPI number?

The NPI number for Holly Wilson is 1407407273. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Q: What is Holly Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holly Wilson was last updated on January 25, 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.

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment

100 HOSPITAL ST STE 300, BOONEVILLE, MS 38829(662) 728-2147 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Holly Wilson Np-c NPPES

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

HOLLY WILSON NP-C (NPI 1407407273) is an individual nurse practitioner in Booneville, Mississippi, licensed in Mississippi (903586) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Union County, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407407273

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHOLLY WILSONCredential: NP-C

Location Address100 HOSPITAL ST STE 300Booneville, MS 38829-3354

Mailing Address965 Ridge Lake BlvdMemphis, TN 38120-9401 · (901) 227-4692

Phone(662) 728-2147

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 24, 2019

Last NPPES UpdateJanuary 25, 2024

NPPES CertifiedJanuary 25, 2024

✔ NPI 1407407273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 903586

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.

100 HOSPITAL ST STE 300, Booneville, MS 38829

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Wilson Np-c 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 ID2769814516

PECOS Enrollment IDI20191115001177

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.

Medicare Billing Reassignment

Medicare enrollment records show Holly Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Memorial Medical Group Inc

73 mi

Internal Medicine

8970 WINCHESTER RD
Memphis, TN 38125

Reassigned Medicare billing, Mississippi enrollment
494 clinicians in this Medicare group

NPI 1306089206 (901) 227-4068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

122 services120 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

65 services64 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital Union County

Acute Care Hospitals · New Albany, MS

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250006

Location200 Hwy 30 WestNew Albany, MS 38652 · Union County

Emergency services Birthing friendly

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250009

Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County

Emergency services Birthing friendly

Baptist Memorial Hospital Booneville

Acute Care Hospitals · Booneville, MS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number250044

Location100 Hospital StreetBooneville, MS 38829 · Prentiss County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38829 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

MS. MARGARET ANNE WAIT NP

Nurse Practitioner

100 HOSPITAL ST STE 300
BOONEVILLE, MS 38829

Prentiss County (662) 728-2147

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 Holly Wilson's NPI number?

The NPI number for Holly Wilson is 1407407273. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Holly Wilson located?

Holly Wilson practices at 100 Hospital St Ste 300, Booneville, MS 38829. The listed phone number is (662) 728-2147.

What is Holly Wilson's specialty?

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

Is Holly Wilson enrolled in Medicare?

Yes. Holly 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.

Which organization bills Medicare for Holly Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Wilson reassigns Medicare benefits to Baptist Memorial Medical Group Inc (Memphis, TN). 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 Holly Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Wilson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Holly 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 Holly Wilson affiliated with any hospitals?

According to CMS data, Holly Wilson is affiliated with Baptist Memorial Hospital Union County, Magnolia Regional Health Center and Baptist Memorial Hospital Booneville.

When was this NPI record last updated?

The NPPES record for Holly Wilson was last updated on January 25, 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.