MARY WILSON APN, NP
NPI 1639533953
Nurse Practitioner - Family in Houston, TX

Q: What is Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1639533953. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Q: What is Mary Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 12, 2016PECOS EnrolledAccepts Medicare Assignment

545 GULFGATE CENTER MALL, HOUSTON, TX 77087(850) 304-7986 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2026, Sep 19, 2025, May 5, 2020 (3 updates tracked since 2020).

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About Mary Wilson Apn, Np NPPES

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

MARY WILSON APN, NP (NPI 1639533953) is an individual family provider in Houston, Texas, licensed in Texas (AP136986) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639533953

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY WILSONCredential: APN, NP

Location Address545 GULFGATE CENTER MALLHouston, TX 77087-3023

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 533-6836 · Fax (407) 770-0661

Phone(850) 304-7986

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 12, 2016

Last NPPES UpdateApril 6, 20263 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1639533953 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

Licenses✔ Licensed in TX · AP136986✔ Licensed in TN · 21173✔ Licensed in AZ · 324482

545 GULFGATE CENTER MALL, Houston, TX 77087

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Secondary Practice Location 1

Location 19515 W Camelback Rd Ste 136&138Phoenix, AZ 85037-1355 · Phone (850) 304-7986

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

Mary Wilson Apn, Np 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 ID9234428160

PECOS Enrollment IDI20251211001664

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

Medicare enrollment records show Mary Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centerwell Senior Primary Care (tx) PA

Same address

Internal Medicine

545 GULFGATE CENTER MALL
Houston, TX 77087

Reassigned Medicare billing, Texas enrollment
157 clinicians in this Medicare group

NPI 1598221756 (281) 846-7209

Centerwell Senior Primary Care Tx Cs PA

957 mi

Internal Medicine

6101 BLUE LAGOON DR STE 200
Miami, FL 33126

Reassigned Medicare billing, Texas enrollment
21 clinicians in this Medicare group

NPI 1659172112 (407) 447-7120

Centerwell Senior Primary Care Az Cs PC

1,033 mi

Internal Medicine

9515 W CAMELBACK RD STE 136&138
Phoenix, AZ 85037

Reassigned Medicare billing, Arizona enrollment
22 clinicians in this Medicare group

NPI 1255167417 (623) 322-8906

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 7

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.

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.

55 services43 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

50 services38 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.

37 services27 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

22 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77087 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 5

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

IRIS BURNS FNP-C

Nurse Practitioner (Family)