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MS. MARJORIE S WILSON NURSE PRACTITIONER
NPI 1639266067
Nurse Practitioner - Adult Health in Traverse City, MI

Active since October 06, 2006PECOS Enrolled
815 BUSINESS PARK DR STE A, TRAVERSE CITY, MI 49686(231) 421-6921(231) 421-7852 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2021, Jun 3, 2021, Nov 2, 2020 and 1 more (4 updates tracked since 2018).

About Ms. Marjorie S Wilson Nurse Practitioner NPPES

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

MS. MARJORIE S WILSON NURSE PRACTITIONER (NPI 1639266067) is an individual adult health provider in Traverse City, Michigan, licensed in Michigan (4704191507) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cadillac.

NPPES Registry Identity

NPI1639266067
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. MARJORIE S WILSONCredential: NURSE PRACTITIONER
Location Address815 BUSINESS PARK DR STE ATraverse City, MI 49686-8683
Mailing Address1909 N Mitchell StCadillac, MI 49601 · (231) 775-4401
Phone(231) 421-6921
Fax(231) 421-7852
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateJune 14, 20214 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1639266067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704191507
815 BUSINESS PARK DR STE A, Traverse City, MI 49686
Open in Google Maps ↗

Secondary Practice Location 1

Location 11909 N Mitchell StCadillac, MI 49601 · Phone (231) 775-4401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marjorie S Wilson Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Marjorie Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chronic Care Management LLC
Same address
Family Medicine
815 BUSINESS PARK DR STE A
Traverse City, MI 49686
  • Reassigned Medicare billing, Michigan enrollment
  • 33 clinicians in this Medicare group
NPI 1730506726 (231) 421-6921

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 18

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

MS. KARRI G HAGAN NP
Nurse Practitioner
815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 421-6921
REBECCA LOUISE WIGGINS NP
Nurse Practitioner (Family)
815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 421-6921
PATRICIA ANNE CONLON NURSE PRACTITIONER
Nurse Practitioner
815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (248) 931-8677
SUSAN SANCHEZ WILKINSON FNP-C
Nurse Practitioner (Primary Care)
815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 421-6921
LAUREN E KLINE
Dietitian, Registered
815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 421-6921
MOZELLE DABELL
Social Worker (Clinical)
815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (234) 421-6921
KAYLA VERMEER
Physician Assistant
815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 421-6921
ELLEN TALBOTT FNP
Nurse Practitioner
815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 421-6921

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 Marjorie Wilson's NPI number?

The NPI number for Marjorie Wilson is 1639266067. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Marjorie Wilson located?

Marjorie Wilson practices at 815 Business Park Dr Ste A, Traverse City, MI 49686. The listed phone number is (231) 421-6921.

What is Marjorie Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marjorie Wilson enrolled in Medicare?

Yes. Marjorie Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marjorie Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marjorie Wilson reassigns Medicare benefits to Chronic Care Management LLC (Traverse City, MI). The 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 Marjorie Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marjorie Wilson was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.