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DOROTHY WILSON
NPI 1457896417
Nurse Practitioner - Family in Tupelo, MS

Active since December 30, 2016PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
830 S GLOSTER ST, HEART INSTITUTE, TUPELO, MS 38801(662) 377-3000 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 16, 2017, Dec 30, 2016 (2 updates tracked since 2016).

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

NPI1457896417
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOROTHY WILSON
Location Address830 S GLOSTER ST, HEART INSTITUTETupelo, MS 38801-4934
Mailing Address830 S Gloster St, Heart InstituteTupelo, MS 38801-4934 · (662) 377-3000
Phone(662) 377-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 30, 2016
Last NPPES UpdateJanuary 16, 20172 updates tracked since enumeration
✔ NPI 1457896417 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 MS · 901913
830 S GLOSTER ST, Tupelo, MS 38801
Open in Google Maps ↗

Accepted Insurance

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

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

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.

PECOS PAC ID4981989498
PECOS Enrollment IDI20170324001318
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 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.

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.
2,003 services1,684 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,162 services914 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
579 services480 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.
273 services224 patients
Programming of cardiac rhythm monitor system 93285
Programming of a cardiac rhythm monitor system involves setting up a device to track your heart's activity. This helps identify irregular heartbeats or rhythms. The data collected assists your healthcare team in making accurate treatment decisions.
125 services105 patients
Programming of multiple lead implantable defibrillator system 93284
Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.
113 services99 patients

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, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician 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.

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.

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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

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.

LAUREN ELIZABETH ABEL CRNA
Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-4394
WESLEY B BRUCE
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-3000
DR. ROBERT CARSON KIRKSEY M.D.
Emergency Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (866) 754-3852
NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC
Internal Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-4685
NORTH MISSISSIPPI MEDICAL CENTER INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801
Lee County (662) 377-7170
JENNIFER L TAYLOR FNP-BC
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (205) 412-0585
KALISA MICKELL FNP
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (662) 377-3000
JESSICA KATHRYN PIPPIN
Nurse Practitioner
830 S GLOSTER ST
TUPELO, MS 38801
Lee County (888) 731-7611

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.

What insurance does Dorothy Wilson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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.