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RITA WILSON APRN
NPI 1558764928
Nurse Practitioner in Bowling Green, KY

Active since September 30, 2014PECOS EnrolledAccepts Medicare Assignment
87.53/100
CMS Quality Rating
165 NATCHEZ TRACE AVE, SUITE 205, BOWLING GREEN, KY 42103(270) 282-2024(270) 282-2027 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rita Wilson Aprn NPPES

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

RITA WILSON APRN (NPI 1558764928) is an individual nurse practitioner in Bowling Green, Kentucky, licensed in Kentucky (3008962) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558764928
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRITA WILSONCredential: APRN
Location Address165 NATCHEZ TRACE AVE, SUITE 205Bowling Green, KY 42103-7940
Mailing AddressPo Box 21890Belfast, ME 04915-4115 · (502) 907-0356 · Fax (502) 919-9780
Phone(270) 282-2024
Fax(270) 282-2027
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 30, 2014
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1558764928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3008962
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.
165 NATCHEZ TRACE AVE, Bowling Green, KY 42103
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100319790KY

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rita Wilson Aprn 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 ID9436370673
PECOS Enrollment IDI20141031001259
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 Reassignments

2

Medicare enrollment records show Rita Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Specialists Of Bowling Green Plc
Same address
Pain Medicine
165 NATCHEZ TRACE AVE, SUITE 205
Bowling Green, KY 42103
  • Reassigned Medicare billing, Kentucky enrollment
  • 21 clinicians in this Medicare group
NPI 1033356274 (270) 393-1912
Commonwealth Pain Associates, PLLC
98 mi
Interventional Pain Medicine
120 EXECUTIVE PARK
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 193 clinicians in this Medicare group
NPI 1306280177 (502) 855-7200

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 6

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
650 services243 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
586 services215 patients
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.
148 services106 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services47 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
61 services36 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
25 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42103 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

87.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability100
Improvement Activities40
Cost68.08

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.

WESTERN KENTUCKY ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES
Clinic/Center
165 NATCHEZ TRACE AVE, SUITE 200
BOWLING GREEN, KY 42103
Warren County (270) 782-7800
JOHN T BURCH M.D.
Orthopaedic Surgery
165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
Warren County (270) 782-7800
INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC
Anesthesiology (Pain Medicine)
165 NATCHEZ TRACE AVE, SUITE 205
BOWLING GREEN, KY 42103
Warren County (270) 393-1912
BRITTANY LEIGH SOWDERS APRN
Nurse Practitioner
165 NATCHEZ TRACE AVE, SUITE 205
BOWLING GREEN, KY 42103
Warren County (270) 393-1912
DAWN SLAUGHTER NP
Nurse Practitioner
165 NATCHEZ TRACE AVE, STE 205
BOWLING GREEN, KY 42103
Warren County (270) 282-2024
DR. ROBERT SHANE RILEY D.O.
Orthopaedic Surgery
165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
Warren County (270) 782-7800
MRS. ALLISON LEIGH HOGUE APRN
Nurse Practitioner
165 NATCHEZ TRACE AVE, SUITE 205
BOWLING GREEN, KY 42103
Warren County (270) 745-7246
DR. LINDSAY HUNT HOCKENSMITH MD
Orthopaedic Surgery
165 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103
Warren County (270) 782-7800

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 Rita Wilson's NPI number?

The NPI number for Rita Wilson is 1558764928. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Rita Wilson located?

Rita Wilson practices at 165 Natchez Trace Ave Suite 205, Bowling Green, KY 42103. The listed phone number is (270) 282-2024.

What is Rita Wilson's specialty?

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

Is Rita Wilson enrolled in Medicare?

Yes. Rita 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.

Which organizations bill Medicare for Rita Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rita Wilson reassigns Medicare benefits to 2 organizations: Interventional Pain Specialists Of Bowling Green Plc (Bowling Green, KY) and Commonwealth Pain Associates, PLLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rita Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rita Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Rita 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.

When was this NPI record last updated?

The NPPES record for Rita Wilson was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.