BEVERLY CECILE WILSON FNP-BC
NPI 1467703157
Nurse Practitioner - Family in Loris, SC

Active since September 21, 2012PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Cecile Wilson Fnp-bc NPPES

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

BEVERLY CECILE WILSON FNP-BC (NPI 1467703157) is an individual family provider in Loris, South Carolina, licensed in South Carolina (17916) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Mcleod Loris Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1467703157
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBEVERLY CECILE WILSONCredential: FNP-BC
Location Address3817 MAIN STLoris, SC 29569-3017
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 21, 2012
Last NPPES UpdateMarch 31, 2015
NPI 1467703157 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 SC · 17916
3817 MAIN ST, Loris, SC 29569

Other Identifiers 2

MedicaidNP2188SC
Medicare PINSC03611879SC

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 and accepts Medicare assignment

Beverly Cecile Wilson Fnp-bc 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 ID8022262609
PECOS Enrollment IDI20130206000629
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.

Hospital Affiliations CMS Care Compare

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

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29569 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 5

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

Nurse Practitioner (Family)
3817 MAIN ST
LORIS, SC 29569
Family Medicine
3817 MAIN ST
LORIS, SC 29569
Family Medicine
3817 MAIN ST
LORIS, SC 29569
Pharmacy
3817 MAIN ST
LORIS, SC 29569
Family Medicine
3817 MAIN ST
LORIS, SC 29569

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 Beverly Wilson's NPI number?

The NPI number for Beverly Wilson is 1467703157. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Where is Beverly Wilson located?

Beverly Wilson practices at 3817 Main St, Loris, SC 29569. The listed phone number is (843) 663-8000.

What is Beverly Wilson's specialty?

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

Is Beverly Wilson enrolled in Medicare?

Yes. Beverly 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 Beverly Wilson accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Beverly 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 Beverly Wilson affiliated with any hospitals?

According to CMS data, Beverly Wilson is affiliated with Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Beverly Wilson was last updated on March 31, 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.