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KRISTEN MABUS WILSON CNP
NPI 1831466747
Nurse Practitioner - Family in Spartanburg, SC

Active since November 20, 2011PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
380 SERPENTINE DR, SUITE 200, SPARTANBURG, SC 29303(864) 560-7050(864) 560-0800 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2021, Oct 17, 2016 (2 updates tracked since 2016).

About Kristen Mabus Wilson Cnp NPPES

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

KRISTEN MABUS WILSON CNP (NPI 1831466747) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (20205) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1831466747
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN MABUS WILSONCredential: CNP
Location Address380 SERPENTINE DR, SUITE 200Spartanburg, SC 29303-3066
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-7050
Fax(864) 560-0800
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 20, 2011
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1831466747 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
Licenses✔ Licensed in SC · 20205✔ Licensed in SC · TL20205✔ Licensed in NC · 207724✔ Licensed in OH · COA 15085 NP
380 SERPENTINE DR, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 2

MedicaidNP1954SC
Medicaid7005571NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and more.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

Kristen Mabus Wilson Cnp 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 ID5698941979
PECOS Enrollment IDI20160827000470
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 4

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.
25 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
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.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier17 claims1,184 services$0.78 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$18.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$11.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

SPARTANBURG MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
380 SERPENTINE DR, GIBBS CANCER CENTER
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
MELODY J. CARNES LCSW
Social Worker (Clinical)
380 SERPENTINE DR, SUITE 200A
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6012
SPARTANBURG MEDICAL CENTER
Durable Medical Equipment & Medical Supplies (Customized Equipment)
380 SERPENTINE DR, SUITE 109
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7080
DR. CHARLES EDWARD BOWERS MD
Internal Medicine (Hematology & Oncology)
380 SERPENTINE DR
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Pharmacy (Community/Retail Pharmacy)
380 SERPENTINE DR, STE 201
SPARTANBURG, SC 29303
Spartanburg County (864) 560-1864

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 Kristen Wilson's NPI number?

The NPI number for Kristen Wilson is 1831466747. It was assigned to this individual provider in the NPPES registry on November 20, 2011.

Where is Kristen Wilson located?

Kristen Wilson practices at 380 Serpentine Dr Suite 200, Spartanburg, SC 29303. The listed phone number is (864) 560-7050.

What is Kristen Wilson's specialty?

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

Is Kristen Wilson enrolled in Medicare?

Yes. Kristen 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 Kristen Wilson accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and Molina Healthcare list Kristen 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.

Is Kristen Wilson affiliated with any hospitals?

According to CMS data, Kristen Wilson is affiliated with Spartanburg Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Wilson was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.