DR. WILHELMINA MARGARETHA PRINSSEN M.D.
NPI 1477870111
Family Medicine in Atlanta, GA

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
1247 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318(404) 616-9304 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Wilhelmina Margaretha Prinssen M.d. NPPES

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

DR. WILHELMINA MARGARETHA PRINSSEN M.D. (NPI 1477870111) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (68943) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1477870111
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILHELMINA MARGARETHA PRINSSENCredential: M.D.
Location Address1247 DONALD LEE HOLLOWELL PKWY NWAtlanta, GA 30318-6657
Mailing Address1247 Donald Lee Hollowell Pkwy NwAtlanta, GA 30318-6657 · (404) 616-2265 · Fax (404) 489-7882
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 20, 2010
Last NPPES UpdateMay 26, 2020
NPPES CertifiedMay 26, 2020
NPI 1477870111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 68943
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1247 DONALD LEE HOLLOWELL PKWY NW, Atlanta, GA 30318

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

Dr. Wilhelmina Margaretha Prinssen M.d. 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 ID3678707411
PECOS Enrollment IDI20131009001339
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, 30-39 minutes 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.
43 services31 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services20 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30318 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.42 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,960 services$0.29 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$3.17 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$13.77 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$14.07 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$187.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Internal Medicine
1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Family Medicine
1247 DONALD LEE HOLLOWELL PKWY NW, ASA G. YANCEY, SR., M.D. HEALTH CENTER
ATLANTA, GA 30318
Clinic/Center
1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Family Medicine
1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Nurse Practitioner (Adult Health)
1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Nurse Practitioner
1247 DONALD LEE HOLLOWELL PKWY NW, ASA YANCEY HEALTH CENTER OF GRADY HEALTHCARE
ATLANTA, GA 30318
Pharmacy (Community/Retail Pharmacy)
1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
Pediatrics
1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477870111, enumerated as an "individual" on April 20, 2010.

The provider is located at 1247 DONALD LEE HOLLOWELL PKWY NW ATLANTA, GA 30318 and the phone number is (404) 616-9304.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.

Wilhelmina Prinssen is affiliated with: GRADY MEMORIAL HOSPITAL.