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

Q: What is Wilhelmina Prinssen's NPI number?

The NPI number for Wilhelmina Prinssen is 1477870111. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Q: What is Wilhelmina Prinssen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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: October 18, 2026.

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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

Phone(404) 616-9304

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Wilhelmina Prinssen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grady Memorial Hospital Corporation

3.1 mi

Family Medicine

80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
771 clinicians in this Medicare group

NPI 1114243813 (404) 616-8880

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.

36 services29 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.

17 services14 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

Quality

75.42

Promoting Interoperability

100

Improvement Activities

Cost

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.

DR. RASHIDA ALLEN AVERY MD

Pediatrics