DOROTHY WILSON
NPI 1457896417
Nurse Practitioner - Family in Tupelo, MS
About Dorothy Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOROTHY WILSON (NPI 1457896417) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (901913) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2016).
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 and accepts Medicare assignment
Dorothy Wilson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dorothy Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 581 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 19 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TUPELO, MS 38801
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 Dorothy Wilson's NPI number?
The NPI number for Dorothy Wilson is 1457896417. It was assigned to this individual provider in the NPPES registry on December 30, 2016.
Where is Dorothy Wilson located?
Dorothy Wilson practices at 830 S Gloster St Heart Institute, Tupelo, MS 38801. The listed phone number is (662) 377-3000.
What is Dorothy Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dorothy Wilson enrolled in Medicare?
Yes. Dorothy 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 organizations bill Medicare for Dorothy Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Wilson reassigns Medicare benefits to 2 organizations: North Mississippi Medical Center, Inc. (Tupelo, MS) and North Mississippi Electrophysiology, LLC (Tupelo, MS). Each 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 Dorothy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dorothy Wilson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Dorothy 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 Dorothy Wilson affiliated with any hospitals?
According to CMS data, Dorothy Wilson is affiliated with North Mississippi Medical Center.
When was this NPI record last updated?
The NPPES record for Dorothy Wilson was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dorothy Wilson · NPI 1457896417
Family physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since December 30, 2016.
## Identity
- **NPI:** 1457896417 (Entity type: Individual)
- **Enumerated:** December 30, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 901913 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 S GLOSTER ST, HEART INSTITUTE, Tupelo, MS 38801-4934
- **Phone:** (662) 377-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Mississippi Medical Center, Inc. (NPI 1033585328, Tupelo, MS); North Mississippi Electrophysiology, LLC (NPI 1275081754, Tupelo, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 16, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1457896417) · Data from the CMS NPPES public registry.