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DIANA LORRAINE WILSON MD
NPI 1720159692
Obstetrics & Gynecology in Tampa, FL

Active since November 13, 2006PECOS Enrolled
1209 E CUMBERLAND AVE, UNIT 2505, TAMPA, FL 33602(704) 575-8825 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diana Lorraine Wilson Md NPPES

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

DIANA LORRAINE WILSON MD (NPI 1720159692) is an individual obstetrics & gynecology provider in Tampa, Florida, licensed in Georgia (077328) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720159692
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDIANA LORRAINE WILSONCredential: MD
Location Address1209 E CUMBERLAND AVE, UNIT 2505Tampa, FL 33602-4256
Mailing Address1209 E Cumberland Ave, Unit 2505Tampa, FL 33602-4256 · (704) 575-8825
Phone(704) 575-8825
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 6, 2017
✔ NPI 1720159692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 077328
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1209 E CUMBERLAND AVE, Tampa, FL 33602
Open in Google Maps ↗

Other Identifiers 2

Medicare NSC0471260001FL
Other239379VA · Anthem Healthkeepers

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Lorraine Wilson Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Diana Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grady Memorial Hospital Corporation
412 mi
Multi-Specialty
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 51 clinicians in this Medicare group
NPI 1649765686 (404) 616-8880
Morehouse Healthcare, Inc.
420 mi
Cardiovascular Disease
1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
NPI 1801832324 (404) 752-1000

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 33602 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 Diana Wilson's NPI number?

The NPI number for Diana Wilson is 1720159692. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Diana Wilson located?

Diana Wilson practices at 1209 E Cumberland Ave Unit 2505, Tampa, FL 33602. The listed phone number is (704) 575-8825.

What is Diana Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Diana Wilson enrolled in Medicare?

Yes. Diana Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diana Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Wilson reassigns Medicare benefits to 2 organizations: Grady Memorial Hospital Corporation (Atlanta, GA) and Morehouse Healthcare, Inc. (Atlanta, GA). 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 Diana Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Wilson accept?

Health plans from Ambetter Health and Oscar Health list Diana 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.

When was this NPI record last updated?

The NPPES record for Diana Wilson was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.