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HEATHER M WILSON FNP-BC
NPI 1649821901
Nurse Practitioner - Family in Gladewater, TX

Active since September 26, 2019Opted out of Medicare · through Jan 1, 2028
9819 UNION GROVE RD, GLADEWATER, TX 75647(903) 472-2359 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2024, Mar 18, 2020, Sep 26, 2019 (3 updates tracked since 2019).

About Heather M Wilson Fnp-bc NPPES

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

HEATHER M WILSON FNP-BC (NPI 1649821901) is an individual family provider in Gladewater, Texas, licensed in Texas (AP140720) and active in the NPI registry since September 2019. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649821901
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER M WILSONCredential: FNP-BC
Location Address9819 UNION GROVE RDGladewater, TX 75647-3629
Mailing Address9819 Union Grove RdGladewater, TX 75647-3629 · (903) 309-1109
Phone(903) 472-2359
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1649821901 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 TX · AP140720
9819 UNION GROVE RD, Gladewater, TX 75647
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Heather M Wilson Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75647 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Heather Wilson's NPI number?

The NPI number for Heather Wilson is 1649821901. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Heather Wilson located?

Heather Wilson practices at 9819 Union Grove Rd, Gladewater, TX 75647. The listed phone number is (903) 472-2359.

What is Heather Wilson's specialty?

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

Is Heather Wilson enrolled in Medicare?

No. Heather Wilson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Heather Wilson was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.