MRS. DEANN WILSON PNP-BC
NPI 1770835332
Nurse Practitioner - Pediatrics in Saint Louis, MO

Active since October 08, 2012PECOS Enrolled
621 S NEW BALLAS RD STE 63B, SAINT LOUIS, MO 63141(314) 251-3500(314) 251-3502 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Deann Wilson Pnp-bc NPPES

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

MRS. DEANN WILSON PNP-BC (NPI 1770835332) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2011037438) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770835332
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. DEANN WILSONCredential: PNP-BC
Location Address621 S NEW BALLAS RD STE 63BSaint Louis, MO 63141-8251
Mailing Address621 S New Ballas Rd Ste 63bSaint Louis, MO 63141-8251 · (314) 251-3500 · Fax (314) 251-3502
Fax(314) 251-3502
Sole ProprietorNo
Enumeration DateOctober 8, 2012
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1770835332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2011037438
621 S NEW BALLAS RD STE 63B, Saint Louis, MO 63141

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deann Wilson Pnp-bc 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 Reassignment

Medicare enrollment records show Deann Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Surgery
621 S. NEW BALLAS ROAD, SUITE 6018-B
St. Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Mercy Clinic Childrens Surgery LLC
  • 11 clinicians in this Medicare group

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 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 6

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

Nurse Practitioner (Pediatrics)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
Nurse Practitioner (Pediatrics)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
Nurse Practitioner
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141

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 Deann Wilson's NPI number?

The NPI number for Deann Wilson is 1770835332. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Deann Wilson located?

Deann Wilson practices at 621 S New Ballas Rd Ste 63B, Saint Louis, MO 63141. The listed phone number is (314) 251-3500.

What is Deann Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Deann Wilson enrolled in Medicare?

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

Which organization bills Medicare for Deann Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deann Wilson reassigns Medicare benefits to Mercy Clinic Children's Surgery, LLC (St. Louis, MO). The 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 Deann Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deann Wilson was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.