MRS. MAUREEN ELISABETH WILSON APN, CNP
NPI 1639546047
Nurse Practitioner - Family in Bloomington, IL

Q: What is Maureen Wilson's NPI number?

The NPI number for Maureen Wilson is 1639546047. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Q: What is Maureen 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 Maureen Wilson was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 01, 2015PECOS EnrolledAccepts Medicare Assignment

1401 EASTLAND DR, BLOOMINGTON, IL 61701(309) 663-8311(309) 661-3390 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Sep 30, 2020 (2 updates tracked since 2020).

On this page

About Mrs. Maureen Elisabeth Wilson Apn, Cnp NPPES

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

MRS. MAUREEN ELISABETH WILSON APN, CNP (NPI 1639546047) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209.013240) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639546047

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MAUREEN ELISABETH WILSONCredential: APN, CNP

Location Address1401 EASTLAND DRBloomington, IL 61701-3552

Mailing Address101 W University AveChampaign, IL 61820-3981 · (309) 663-8311 · Fax (309) 661-3390

Phone(309) 663-8311

Fax(309) 661-3390

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 1, 2015

Last NPPES UpdateMay 6, 20262 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1639546047 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

License✔ Licensed in IL · 209.013240

1401 EASTLAND DR, Bloomington, IL 61701

Open in Google Maps ↗

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

Mrs. Maureen Elisabeth Wilson Apn, 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 ID9234449000

PECOS Enrollment IDI20151106000291

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL

OwnershipGovernment - Local

CMS Certification Number141303

Location422 W White StClinton, IL 61727 · De Witt County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers13 claims37 services$5.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMY O'BRIEN FNP

Nurse Practitioner (Family)

1401 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 661-3360

DR. LUCAS C POGUE M.D.

Internal Medicine

1401 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 663-8311

DR. BENJAMIN J LEAK M.D.

Urology

1401 EASTLAND DR, SUITE B
BLOOMINGTON, IL 61701

McLean County (309) 663-9424

MR. CHRISTOPHER MARK RUSSELL M.D.

Internal Medicine

1401 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 663-8311

CAITLYN LEE BURTON-GOWLER

Nurse Practitioner

1401 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 663-8311

MEDICAL HILLS INTERNISTS

Internal Medicine

1401 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 663-8311

DR. JAMES B HANCOCK M.D.

Internal Medicine

1401 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 663-8311

KATHERINE ANN FITZGERALD M.D.

Internal Medicine

1401 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 663-8311

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 Maureen Wilson's NPI number?

The NPI number for Maureen Wilson is 1639546047. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Maureen Wilson located?

Maureen Wilson practices at 1401 Eastland Dr, Bloomington, IL 61701. The listed phone number is (309) 663-8311.

What is Maureen Wilson's specialty?

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

Is Maureen Wilson enrolled in Medicare?

Yes. Maureen 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.

Is Maureen Wilson affiliated with any hospitals?

According to CMS data, Maureen Wilson is affiliated with Carle Bromenn Medical Center and Warner Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Maureen Wilson was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.