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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

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: July 19, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.