MS. AMY WILSON FNP-BC
NPI 1689345902
Nurse Practitioner - Family in Portland, ME

Q: What is Amy Wilson's NPI number?

The NPI number for Amy Wilson is 1689345902. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Q: What is Amy 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 Amy Wilson was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 27, 2021PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

180 PARK AVE STE 1, PORTLAND, ME 04102(207) 874-2141(207) 874-2164 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Nov 17, 2021, Oct 16, 2021 and 1 more (4 updates tracked since 2021).

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About Ms. Amy Wilson Fnp-bc NPPES

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

MS. AMY WILSON FNP-BC (NPI 1689345902) is an individual family provider in Portland, Maine, licensed in Maine (CNP211446) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689345902

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. AMY WILSONCredential: FNP-BC

Location Address180 PARK AVE STE 1Portland, ME 04102-2927

Mailing Address180 Park AvePortland, ME 04102-2957 · (207) 874-2141 · Fax (207) 874-2164

Phone(207) 874-2141

Fax(207) 874-2164

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 27, 2021

Last NPPES UpdateJune 2, 20264 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1689345902 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 ME · CNP211446

180 PARK AVE STE 1, Portland, ME 04102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Ms. Amy Wilson Fnp-bc 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 ID2466840483

PECOS Enrollment IDI20211025002077

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 04102 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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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.

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