MARY KATHERINE WILSON APRN, PNP-PC
NPI 1457039026
Nurse Practitioner - Pediatrics in Houston, TX
About Mary Katherine Wilson Aprn, Pnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KATHERINE WILSON APRN, PNP-PC (NPI 1457039026) is an individual pediatrics provider in Houston, Texas, licensed in Texas (1127530) and active in the NPI registry since July 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)
Mary Katherine Wilson Aprn, Pnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Mary Wilson's NPI number?
The NPI number for Mary Wilson is 1457039026. It was assigned to this individual provider in the NPPES registry on July 5, 2023.
Where is Mary Wilson located?
Mary Wilson practices at 6621 Fannin St # 2210, Houston, TX 77030. The listed phone number is (832) 824-2000.
What is Mary Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mary Wilson enrolled in Medicare?
Yes. Mary Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Wilson reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). 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 Mary Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Wilson accept?
Health plans from Moda Health Plan, Inc. list Mary 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 Mary Wilson was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mary Katherine Wilson, APRN, PNP-PC · NPI 1457039026
Pediatrics physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since July 5, 2023.
## Identity
- **NPI:** 1457039026 (Entity type: Individual)
- **Enumerated:** July 5, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 1127530 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6621 FANNIN ST # 2210, Houston, TX 77030-2358
- **Phone:** (832) 824-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Children's Physician Group (NPI 1861675506, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457039026) · Data from the CMS NPPES public registry.