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SHIBY MATHEW WILSON NURSE PRACTITIONER
NPI 1457772048
Nurse Practitioner - Family in Houston, TX

Active since December 26, 2013PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161(832) 449-5647 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shiby Mathew Wilson Nurse Practitioner NPPES

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

SHIBY MATHEW WILSON NURSE PRACTITIONER (NPI 1457772048) is an individual family provider in Houston, Texas, licensed in Texas (748693) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457772048
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHIBY MATHEW WILSONCredential: NURSE PRACTITIONER
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Phone(713) 792-6161
Fax(832) 449-5647
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 26, 2013
Last NPPES UpdateJanuary 22, 2015
✔ NPI 1457772048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 748693
1515 HOLCOMBE BLVD, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 2

Medicaid330086502TX
Medicare PIN330377YKQHTX

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

Shiby Mathew Wilson Nurse Practitioner 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 ID8022156520
PECOS Enrollment IDI20140211000717
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 4

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 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.
41 services36 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
19 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services14 patients

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.

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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

DR. MERRY CHEN MD
Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
AMEENA BAGREE MALHOTRA M.D.
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Harris County (713) 792-6161
SOLANGE ERLYN COX MD
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-2360
DR. BRYAN KEITH GUILLORY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
JANUARY Y TSAI MD
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
DR. SUNYOUNG LEE MD
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MRS. RACHEL KRAMER FUTRELL PA-C
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MEGAN J TANNER NP-C
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161

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 Shiby Wilson's NPI number?

The NPI number for Shiby Wilson is 1457772048. It was assigned to this individual provider in the NPPES registry on December 26, 2013.

Where is Shiby Wilson located?

Shiby Wilson practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Shiby Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shiby Wilson enrolled in Medicare?

Yes. Shiby 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.

When was this NPI record last updated?

The NPPES record for Shiby Wilson was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.