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HOLLEY M WILSON CRNP
NPI 1649450974
Nurse Practitioner - Family in Tuscaloosa, AL

Active since November 03, 2007PECOS Enrolled
3701 LOOP RD, TUSCALOOSA, AL 35404(205) 554-2000 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 2, 2023, Oct 11, 2021 (2 updates tracked since 2021).

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

NPI1649450974
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLEY M WILSONCredential: CRNP
Location Address3701 LOOP RDTuscaloosa, AL 35404-5015
Mailing Address3909 Mcfarland BlvdNorthport, AL 35476-2838 · (205) 330-1707 · Fax (205) 333-0782
Phone(205) 554-2000
Sole ProprietorNo
Enumeration DateNovember 3, 2007
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1649450974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-095123
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1-095123 (AL)
3701 LOOP RD, Tuscaloosa, AL 35404
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Secondary Practice Location 1

Location 112500 Timberlane RdRalph, AL 35480-9101 · Phone (205) 454-7595

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holley M Wilson Crnp 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 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.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 20

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

DR. DAVID WILLIAM HOLLINGSWORTH PHD
Psychologist (Clinical)
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
BRITTANY NICOLE BARNES PHARMD
Pharmacist
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
SHANTERELL REDD PHARMD
Pharmacist
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
AMY JUDITH MITCHELL LMSW
Social Worker
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
DR. CARLOS EUGENIO BERRY M.D.
Psychiatry & Neurology (Psychiatry)
3701 LOOP RD, TUSCALOOSA VA MEDICAL CENTER
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2822
DR. DAVID WILLIAM MACVICAR PH.D.
Psychologist (Clinical)
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2822
DR. MARK BRUCE NISSENBAUM M.D.
Internal Medicine (Gastroenterology)
3701 LOOP RD, VA MEDICAL CENTER (679/11)
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
DORIS D PATTON CRNP
Nurse Practitioner (Family)
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000

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.

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.