MS. KELLEY GEDDIS WILSON CNP
NPI 1508085531
Nurse Practitioner in Detroit, MI

Q: What is Kelley Wilson's NPI number?

The NPI number for Kelley Wilson is 1508085531. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Kelley Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Wilson was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment

4100 JOHN R ST, KARMANOS CANCER CENTER MIDLEVELS, DETROIT, MI 48201(800) 527-6266(313) 576-8381 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Ms. Kelley Geddis Wilson Cnp NPPES

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

MS. KELLEY GEDDIS WILSON CNP (NPI 1508085531) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704185213) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1508085531

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. KELLEY GEDDIS WILSONCredential: CNP

Location Address4100 JOHN R ST, KARMANOS CANCER CENTER MIDLEVELSDetroit, MI 48201-2013

Mailing Address1560 E Maple Rd, Ste 400Troy, MI 48083-1138 · (800) 527-6266 · Fax (313) 576-8381

Phone(800) 527-6266

Fax(313) 576-8381

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 25, 2007

Last NPPES UpdateJuly 29, 2016

✔ NPI 1508085531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704185213

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704185213 (MI)

4100 JOHN R ST, Detroit, MI 48201

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Other Identifiers 2

Medicare UPINP34780061

Medicare PIN0P32180050MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ms. Kelley Geddis Wilson Cnp 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 ID7911007489

PECOS Enrollment IDI20070712000577

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

BARBARA ANN KARMANOS CANCER HOSPITAL

Pharmacy (Community/Retail Pharmacy)

4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201

Wayne County (313) 576-9350

BARBARA ANN KARMANOS CANCER CENTER

General Acute Care Hospital