HOLLEY M WILSON CRNP
NPI 1649450974
Nurse Practitioner - Family in Tuscaloosa, AL
About Holley M Wilson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLEY M WILSON CRNP (NPI 1649450974) is an individual family provider in Tuscaloosa, Alabama, licensed in Alabama (1-095123) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ralph.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holley M Wilson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Holley Wilson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tuscaloosa, AL 35405
- Reassigned Medicare billing, Alabama enrollment
- 40 clinicians in this Medicare group
Northport, AL 35476
- Reassigned Medicare billing, Alabama enrollment
- 41 clinicians in this Medicare group
Northport, AL 35476
- Reassigned Medicare billing, Alabama enrollment
- 118 clinicians in this Medicare group
Fayette, AL 35555
- Reassigned Medicare billing, Alabama enrollment
- 37 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 646 clinicians in this Medicare group
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 35404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TUSCALOOSA, AL 35404
TUSCALOOSA, AL 35404
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 Holley Wilson's NPI number?
The NPI number for Holley Wilson is 1649450974. It was assigned to this individual provider in the NPPES registry on November 3, 2007.
Where is Holley Wilson located?
Holley Wilson practices at 3701 Loop Rd, Tuscaloosa, AL 35404. The listed phone number is (205) 554-2000.
What is Holley Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holley Wilson enrolled in Medicare?
Yes. Holley Wilson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Holley Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holley Wilson reassigns Medicare benefits to 5 organizations: Tuscaloosa Medcenter South, LLC (Tuscaloosa, AL), Medcenter Primary Care, LLC (Northport, AL), Relias Emergency Medicine Specialists Of Northport, LLC (Northport, AL), Medcenter Fayette, LLC (Fayette, AL) and Paragon Contracting Services LLC (Birmingham, AL). 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 Holley 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 Holley Wilson was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Holley M Wilson, CRNP · NPI 1649450974
Family physician in Tuscaloosa, Alabama. Individual provider, active in the CMS NPPES registry since November 3, 2007.
## Identity
- **NPI:** 1649450974 (Entity type: Individual)
- **Enumerated:** November 3, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-095123 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 3701 LOOP RD, Tuscaloosa, AL 35404-5015
- **Phone:** (205) 554-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Tuscaloosa Medcenter South, LLC (NPI 1689689481, Tuscaloosa, AL); Medcenter Primary Care, LLC (NPI 1922546357, Northport, AL); Relias Emergency Medicine Specialists Of Northport, LLC (NPI 1699261149, Northport, AL); Medcenter Fayette, LLC (NPI 1235590001, Fayette, AL); Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649450974) · Data from the CMS NPPES public registry.