MARY KATHERINE WILSON APRN, PNP-PC
NPI 1457039026
Nurse Practitioner - Pediatrics in Houston, TX

Active since July 05, 2023PECOS Enrolled
6621 FANNIN ST # 2210, HOUSTON, TX 77030(832) 824-2000 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457039026
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY KATHERINE WILSONCredential: APRN, PNP-PC
Location Address6621 FANNIN ST # 2210Houston, TX 77030-2358
Mailing Address4215 Lillian StHouston, TX 77007-5622 · (214) 912-6003
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 5, 2023
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1457039026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · 1127530
6621 FANNIN ST # 2210, Houston, TX 77030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

PECOS PAC ID648787325
PECOS Enrollment IDI20250728002608
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.

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.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Physician Assistant
6621 FANNIN ST # 2210
HOUSTON, TX 77030

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.

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 12 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.