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AUTUMN NICOLE WILSON APRN
NPI 1639874662
Nurse Practitioner - Family in Poteau, OK

Active since March 31, 2023PECOS EnrolledAccepts Medicare Assignment
105 WALL STREET, POTEAU, OK 74953(918) 635-3576(918) 635-3332 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Autumn Nicole Wilson Aprn NPPES

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

AUTUMN NICOLE WILSON APRN (NPI 1639874662) is an individual family provider in Poteau, Oklahoma, licensed in Oklahoma (209703) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Eastern Oklahoma Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639874662
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUTUMN NICOLE WILSONCredential: APRN
Location Address105 WALL STREETPoteau, OK 74953
Mailing Address105 Wall StreetPoteau, OK 74953 · (918) 635-3576 · Fax (918) 635-3332
Phone(918) 635-3576
Fax(918) 635-3332
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 31, 2023
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedAugust 4, 2022
✔ NPI 1639874662 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 OK · 209703
105 WALL STREET, Poteau, OK 74953
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.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

Autumn Nicole 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 ID3678938990
PECOS Enrollment IDI20230420001041
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 Autumn Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Leflore County Hospital Authority
Same address
Acute Care
105 WALL ST
Poteau, OK 74953
  • Reassigned Medicare billing, Oklahoma enrollment
  • 26 clinicians in this Medicare group
NPI 1487373577 (918) 635-3100
Stigler Health And Wellness Center Inc
32 mi
Federally Qualified Health Center (FQHC)
1505 E MAIN ST
Stigler, OK 74462
  • Reassigned Medicare billing, Oklahoma enrollment
  • 61 clinicians in this Medicare group
NPI 1891752853 (918) 967-3368

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

Hospital Affiliations CMS Care Compare

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

Eastern Oklahoma Medical Center

Critical Access Hospitals · Poteau, OK
OwnershipGovernment - Local
CMS Certification Number371337
Location105 Wall StreetPoteau, OK 74953 · Le Flore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74953 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 2

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

LEFLORE COUNTY HOSPITAL AUTHORITY
Home Health
105 WALL STREET
POTEAU, OK 74953
Le Flore County (918) 647-8233
LEFLORE COUNTY HOSPITAL AUTHORITY
General Acute Care Hospital (Critical Access)
105 WALL STREET
POTEAU, OK 74953
Le Flore County (918) 635-3309

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 Autumn Wilson's NPI number?

The NPI number for Autumn Wilson is 1639874662. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Autumn Wilson located?

Autumn Wilson practices at 105 Wall Street, Poteau, OK 74953. The listed phone number is (918) 635-3576.

What is Autumn Wilson's specialty?

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

Is Autumn Wilson enrolled in Medicare?

Yes. Autumn 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 Autumn Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Wilson reassigns Medicare benefits to 2 organizations: Leflore County Hospital Authority (Poteau, OK) and Stigler Health And Wellness Center Inc (Stigler, OK). 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 Autumn Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Wilson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Autumn 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.

Is Autumn Wilson affiliated with any hospitals?

According to CMS data, Autumn Wilson is affiliated with Eastern Oklahoma Medical Center.

When was this NPI record last updated?

The NPPES record for Autumn Wilson was last updated on March 28, 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.