ANNE TATE WILSON (CRNP) – Primary Care Nurse Practitioner, NPI 1043609670

ANNE TATE WILSON (CRNP) is a healthcare provider. based in Athens, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-037745 (AL). The NPI Number for ANNE TATE WILSON (CRNP) is 1043609670

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ANNE TATE WILSON (CRNP)
NPI
1043609670
Phone
(256) 232-0636
Address
101 FITNESS WAY
Enumeration Date
20 January 2015
Last Update Date
23 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562320636
Graduation Year
2014 (12 years ago)
PAC ID
9032438494
Group Practice PAC ID
5496706954
Professional Enrollment ID
I20150506001409
Address ID
AL356112492AT101XXWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ANNE TATE WILSON (CRNP)

  • 101 FITNESS WAY

    SUITE 1200

    ATHENS, AL 356112480

    Phone: (256) 232-0636

    Fax: (256) 232-1281

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $1,257.

Total Amount is formed as General ($1,257) + Research ($0) + Ownership ($0) = $1,257.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Novo Nordisk Inc ($214).

Total Amount

$1,257

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150506001409INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8167$0
G0442Annual alcohol misuse screening, 5 to 15 minutes7171$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7171$0
G0444Annual depression screening, 5 to 15 minutes7070$0
99214Established patient office or other outpatient visit, 30-39 minutes4035$0
View full utilization report →

Insurance plans in this area (ZIP 35611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496706954View full group profile
NameSpecialtyState
Family Practice, Obstetrics/GynecologyAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What number should I use to identify ANNE TATE WILSON (CRNP) for billing?
Administrative and clinical systems typically use NPI 1043609670 for ANNE TATE WILSON (CRNP).
Should I treat ANNE TATE WILSON (CRNP) as an active provider?
Patients and plans typically see ANNE TATE WILSON (CRNP) as active in the national extract.
Which specialty label fits ANNE TATE WILSON (CRNP)?
NPPES ties ANNE TATE WILSON (CRNP) to Primary Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ANNE TATE WILSON (CRNP) tied to Athens, Alabama?
If you are local to Athens, Alabama, ANNE TATE WILSON (CRNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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