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MS. DOLORES JOSEPHINE WILSON APRN, FNP-C
NPI 1457954398
Nurse Practitioner - Family in Arthur, IL

Active since November 20, 2020PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
211 S WALNUT ST, ARTHUR, IL 61911(217) 543-3444(217) 543-3751 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 5, 2024, Sep 21, 2022, Mar 9, 2022 and 5 more (8 updates tracked since 2020).

About Ms. Dolores Josephine Wilson Aprn, Fnp-c NPPES

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

MS. DOLORES JOSEPHINE WILSON APRN, FNP-C (NPI 1457954398) is an individual family provider in Arthur, Illinois, licensed in Illinois (209021427) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1457954398
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DOLORES JOSEPHINE WILSONCredential: APRN, FNP-C
Location Address211 S WALNUT STArthur, IL 61911-1269
Mailing AddressPo Box 372Mattoon, IL 61938-0372 · (217) 868-2812
Phone(217) 543-3444
Fax(217) 543-3751
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 20, 2020
Last NPPES UpdateNovember 5, 20248 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1457954398 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 IL · 209021427
211 S WALNUT ST, Arthur, IL 61911
Open in Google Maps ↗

Other Names 1

Former Name (1)Dolores J Wilson

Secondary Practice Locations 4

Location 11201 Wooddell Way Ste BMattoon, IL 61938-1014 · Phone (217) 238-3000 · Fax (217) 238-3008
Location 22040 Lincoln Ave Ste 100Charleston, IL 61920-3197 · Phone (217) 345-2030 · Fax (217) 345-2045
Location 31100 Tuscola BlvdTuscola, IL 61953-2065 · Phone (217) 253-2020 · Fax (217) 253-4886
Location 41303 W Evergreen Ave Ste 100Effingham, IL 62401-1638 · Phone (217) 540-6123 · Fax (217) 347-4969

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

Ms. Dolores Josephine Wilson Aprn, Fnp-c 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 ID5294149456
PECOS Enrollment IDI20210128003151
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 3

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.
265 services128 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.
20 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61911 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK HARTMAN M.D.
Family Medicine
211 S WALNUT ST
ARTHUR, IL 61911
Douglas County (217) 543-3444

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 Dolores Wilson's NPI number?

The NPI number for Dolores Wilson is 1457954398. It was assigned to this individual provider in the NPPES registry on November 20, 2020. The provider is also known as Dolores J Wilson.

Where is Dolores Wilson located?

Dolores Wilson practices at 211 S Walnut St, Arthur, IL 61911. The listed phone number is (217) 543-3444.

What is Dolores Wilson's specialty?

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

Is Dolores Wilson enrolled in Medicare?

Yes. Dolores 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.

Is Dolores Wilson affiliated with any hospitals?

According to CMS data, Dolores Wilson is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Dolores Wilson was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.