KATHY LYNN WILSON PMHNP
NPI 1750158507
Nurse Practitioner - Psychiatric/Mental Health in Cape Girardeau, MO

Active since December 11, 2023PECOS EnrolledAccepts Medicare Assignment
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703(573) 334-1100(573) 651-4345 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Dec 11, 2023 (2 updates tracked since 2023).

About Kathy Lynn Wilson Pmhnp NPPES

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

KATHY LYNN WILSON PMHNP (NPI 1750158507) is an individual psychiatric/mental health provider in Cape Girardeau, Missouri, licensed in Missouri (2023047220) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750158507
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHY LYNN WILSONCredential: PMHNP
Location Address402 S SILVER SPRINGS RDCape Girardeau, MO 63703-7536
Mailing Address402 S Silver Springs RdCape Girardeau, MO 63703-7536 · (573) 334-1100 · Fax (573) 651-4345
Fax(573) 651-4345
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 11, 2023
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1750158507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MO · 2023047220
402 S SILVER SPRINGS RD, Cape Girardeau, MO 63703

Other Identifiers 1

Medicaid420136965MO

Accepted 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

Kathy Lynn Wilson Pmhnp 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 ID648617217
PECOS Enrollment IDI20240319003285
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Social Worker
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Mental Health)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703

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 Kathy Wilson's NPI number?

The NPI number for Kathy Wilson is 1750158507. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Kathy Wilson located?

Kathy Wilson practices at 402 S Silver Springs Rd, Cape Girardeau, MO 63703. The listed phone number is (573) 334-1100.

What is Kathy Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathy Wilson enrolled in Medicare?

Yes. Kathy Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathy Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kathy 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 Kathy Wilson was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.