DARLENE WILSON NP
NPI 1912541806
Nurse Practitioner in Opelika, AL

Q: What is Darlene Wilson's NPI number?

The NPI number for Darlene Wilson is 1912541806. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Q: What is Darlene Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Darlene Wilson was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 04, 2019PECOS EnrolledAccepts Medicare Assignment

77.52/100

CMS Quality Rating

2000 PEPPERELL PKWY, OPELIKA, AL 36801(334) 528-1112 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Darlene Wilson Np NPPES

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

DARLENE WILSON NP (NPI 1912541806) is an individual nurse practitioner in Opelika, Alabama, licensed in Alabama (1-140225) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912541806

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDARLENE WILSONCredential: NP

Location Address2000 PEPPERELL PKWYOpelika, AL 36801-5452

Mailing Address2000 Pepperell PkwyOpelika, AL 36801-5452 · (334) 528-1112

Phone(334) 528-1112

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 4, 2019

✔ NPI 1912541806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-140225

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2000 PEPPERELL PKWY, Opelika, AL 36801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Darlene Wilson Np 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 ID4688000284

PECOS Enrollment IDI20200129003214

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

46 services42 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

23 services23 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

22 services22 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

77.52/100

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

Scored as part of a group practice

Quality

64.31

Promoting Interoperability

100

Improvement Activities

Cost

57.39

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.

TAYLOR DAVID WACHS DO

Internal Medicine (Critical Care Medicine)

2000 PEPPERELL PKWY
OPELIKA, AL 36801

Lee County (334) 749-3411

MAXIMILIAN SUNGHO CHOO

Student in an Organized Health Care Education/Training Program

2000 PEPPERELL PKWY
OPELIKA, AL 36801

Lee County (334) 364-3300

DR. CASEY ESTELLE SPEARS PHARMD

Pharmacist

2000 PEPPERELL PKWY
OPELIKA, AL 36801

Lee County (334) 749-3411

NGUYEN LAM DO

Student in an Organized Health Care Education/Training Program

2000 PEPPERELL PKWY
OPELIKA, AL 36801

Lee County (334) 364-3300

DAVID ALLEN POWELL CAA

Anesthesiologist Assistant

2000 PEPPERELL PKWY
OPELIKA, AL 36801

Lee County (334) 528-2499

ARSH PATEL DO

Internal Medicine

2000 PEPPERELL PKWY
OPELIKA, AL 36801

Lee County (334) 528-3035

JAMIE TREHERN RN

Registered Nurse (Obstetric, Inpatient)

2000 PEPPERELL PKWY, 3RD FLOOR/ MOTHER BABY
OPELIKA, AL 36801

Lee County (334) 528-3710

MACKENZIE WINTER WATERS PHARM.D.

Pharmacist

2000 PEPPERELL PKWY
OPELIKA, AL 36801

Lee County (334) 528-2474

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 Darlene Wilson's NPI number?

The NPI number for Darlene Wilson is 1912541806. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Darlene Wilson located?

Darlene Wilson practices at 2000 Pepperell Pkwy, Opelika, AL 36801. The listed phone number is (334) 528-1112.

What is Darlene Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Darlene Wilson enrolled in Medicare?

Yes. Darlene 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 Darlene Wilson accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Darlene 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 Darlene Wilson was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.