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

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: August 23, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 12 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.