MARYBETH WILSON F.N.P
NPI 1487925012
Nurse Practitioner - Family in Logan, UT

Active since January 12, 2012PECOS EnrolledAccepts Medicare Assignment
550 E 1400 N, SUITE I, LOGAN, UT 84341(435) 753-1545 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marybeth Wilson F.n.p NPPES

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

MARYBETH WILSON F.N.P (NPI 1487925012) is an individual family provider in Logan, Utah, licensed in Utah (6191957-4405) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487925012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARYBETH WILSONCredential: F.N.P
Location Address550 E 1400 N, SUITE ILogan, UT 84341-2406
Mailing Address550 E 1400 N, Suite ILogan, UT 84341-2406 · (435) 753-1545
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 12, 2012
NPI 1487925012 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 UT · 6191957-4405
550 E 1400 N, Logan, UT 84341

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

Marybeth Wilson F.n.p 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 ID5294038485
PECOS Enrollment IDI20250916004301
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

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 20

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

Occupational Therapist (Pediatrics)
550 E 1400 N, SUITE W
LOGAN, UT 84341
Dentist (Endodontics)
550 E 1400 N, SUITE F
LOGAN, UT 84341
Podiatrist (Foot & Ankle Surgery)
550 E 1400 N
LOGAN, UT 84341
Nurse Practitioner (Acute Care)
550 E 1400 N, SUITE J
NORTH LOGAN, UT 84341
Social Worker (Clinical)
550 E 1400 N
LOGAN, UT 84341
Pharmacist
550 E 1400 N
LOGAN, UT 84341
Surgery
550 E 1400 N, SUITE D
LOGAN, UT 84341
Podiatrist
550 E 1400 N, STE B
LOGAN, UT 84341

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 Marybeth Wilson's NPI number?

The NPI number for Marybeth Wilson is 1487925012. It was assigned to this individual provider in the NPPES registry on January 12, 2012.

Where is Marybeth Wilson located?

Marybeth Wilson practices at 550 E 1400 N Suite I, Logan, UT 84341. The listed phone number is (435) 753-1545.

What is Marybeth Wilson's specialty?

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

Is Marybeth Wilson enrolled in Medicare?

Yes. Marybeth 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 Marybeth Wilson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Marybeth 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 Marybeth Wilson affiliated with any hospitals?

According to CMS data, Marybeth Wilson is affiliated with Logan Regional Hospital.

When was this NPI record last updated?

The NPPES record for Marybeth Wilson was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.