MRS. MARY JANE LIM WILSON FNP
NPI 1467896753
Nurse Practitioner - Family in West Covina, CA

Q: What is Mary Jane Wilson's NPI number?

The NPI number for Mary Jane Wilson is 1467896753. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Mary Jane Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Jane Wilson was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment

1705 ASPEN VILLAGE WAY, WEST COVINA, CA 91791(626) 918-3042 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Mary Jane Lim Wilson Fnp NPPES

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

MRS. MARY JANE LIM WILSON FNP (NPI 1467896753) is an individual family provider in West Covina, California, licensed in California (22483) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1467896753

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARY JANE LIM WILSONCredential: FNP

Location Address1705 ASPEN VILLAGE WAYWest Covina, CA 91791-3105

Mailing Address1705 Aspen Village WayWest Covina, CA 91791-3105 · (626) 918-3042

Phone(626) 918-3042

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateApril 17, 2013

Last NPPES UpdateSeptember 12, 2013

✔ NPI 1467896753 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 CA · 22483

1705 ASPEN VILLAGE WAY, West Covina, CA 91791

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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

Mrs. Mary Jane Lim Wilson Fnp 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 ID6800220989

PECOS Enrollment IDI20191224000208

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.

Medicare Billing Reassignments

Medicare enrollment records show Mary Jane Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emanate Health Medical Care Foundation

2.1 mi

Multi-Specialty

1135 S SUNSET AVE STE 401
West Covina, CA 91790

Reassigned Medicare billing, California enrollment
114 clinicians in this Medicare group

NPI 1467195073 (626) 732-0394

Healthcare Partners Affiliates Medical Group

21 mi

Internal Medicine

1120 W WASHINGTON BLVD
Los Angeles, CA 90015

Reassigned Medicare billing, California enrollment
2,052 clinicians in this Medicare group

NPI 1659312593 (213) 623-2225

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 2

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.

94 services71 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.

58 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91791 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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 Mary Jane Wilson's NPI number?

The NPI number for Mary Jane Wilson is 1467896753. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Mary Jane Wilson located?

Mary Jane Wilson practices at 1705 Aspen Village Way, West Covina, CA 91791. The listed phone number is (626) 918-3042.

What is Mary Jane Wilson's specialty?

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

Is Mary Jane Wilson enrolled in Medicare?

Yes. Mary Jane 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 Mary Jane Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jane Wilson reassigns Medicare benefits to 2 organizations: Emanate Health Medical Care Foundation (West Covina, CA) and Healthcare Partners Affiliates Medical Group (Los Angeles, CA). 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 Mary Jane Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Jane Wilson was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.