IRENE WILSON FNP-C
NPI 1477021988
Nurse Practitioner - Primary Care in Southaven, MS

Active since November 02, 2018PECOS EnrolledAccepts Medicare Assignment
75 PHYSICIANS LN, SOUTHAVEN, MS 38671(662) 393-7722 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Irene Wilson Fnp-c NPPES

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

IRENE WILSON FNP-C (NPI 1477021988) is an individual primary care provider in Southaven, Mississippi, licensed in Mississippi (902979) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477021988
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameIRENE WILSONCredential: FNP-C
Location Address75 PHYSICIANS LNSouthaven, MS 38671-6102
Mailing Address481 Clarington DrSouthaven, MS 38671-5638 · (901) 486-0439
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 2, 2018
NPI 1477021988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MS · 902979
75 PHYSICIANS LN, Southaven, MS 38671

Other Names 1

Former Name (1)Irene Diaz Fnp-c

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

Irene Wilson 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 ID3274906987
PECOS Enrollment IDI20250409001913
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 2

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
75 PHYSICIANS LN
SOUTHAVEN, MS 38671
Family Medicine
75 PHYSICIANS LN
SOUTHAVEN, MS 38671
Nurse Practitioner (Family)
75 PHYSICIANS LN
SOUTHAVEN, MS 38671
Family Medicine
75 PHYSICIANS LN
SOUTHAVEN, MS 38671

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 Irene Wilson's NPI number?

The NPI number for Irene Wilson is 1477021988. It was assigned to this individual provider in the NPPES registry on November 2, 2018. The provider is also known as Irene Diaz Fnp-C.

Where is Irene Wilson located?

Irene Wilson practices at 75 Physicians Ln, Southaven, MS 38671. The listed phone number is (662) 393-7722.

What is Irene Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Irene Wilson enrolled in Medicare?

Yes. Irene 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 Irene Wilson accept?

Health plans from Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Irene 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 Irene Wilson affiliated with any hospitals?

According to CMS data, Irene Wilson is affiliated with Baptist Memorial Hospital Desoto and Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Irene Wilson was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.