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DR. MARY M WILSON MD
NPI 1992764054
Emergency Medicine in Champlin, MN

Active since March 18, 2006PECOS Enrolled
11665 PONDVIEW CT, CHAMPLIN, MN 55316(763) 421-9387(763) 421-9387 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary M Wilson Md NPPES

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

DR. MARY M WILSON MD (NPI 1992764054) is an individual emergency medicine provider in Champlin, Minnesota, licensed in Minnesota (33356) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992764054
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARY M WILSONCredential: MD
Location Address11665 PONDVIEW CTChamplin, MN 55316-2629
Mailing Address11665 Pondview CtChamplin, MN 55316-2629 · (763) 421-9387 · Fax (763) 421-9387
Phone(763) 421-9387
Fax(763) 421-9387
Sole ProprietorYes
Enumeration DateMarch 18, 2006
Last NPPES UpdateNovember 16, 2010
✔ NPI 1992764054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 33356
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11665 PONDVIEW CT, Champlin, MN 55316
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Other Names 1

Former Name (1)Mrs. Mary Margaret Wilson Md

Other Identifiers 4

Other33356Mn Medical License
Medicare ID-Type Unspecified930000144
Medicare UPINE49052
Medicaid938500200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary M 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55316 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1992764054. It was assigned to this individual provider in the NPPES registry on March 18, 2006. The provider is also known as Mrs. Mary Margaret Wilson MD.

Where is Mary Wilson located?

Mary Wilson practices at 11665 Pondview Ct, Champlin, MN 55316. The listed phone number is (763) 421-9387.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mary Wilson enrolled in Medicare?

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

What insurance does Mary Wilson accept?

Health plans from Medica list Mary 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 Mary Wilson was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.