KATHERINE WILSON (CRNP) – Acute Care Nurse Practitioner, NPI 1730651233

KATHERINE WILSON (CRNP) is a healthcare provider. based in Owens cross roads, Alabama. specializing in Acute Care Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-130871 (AL). The NPI Number for KATHERINE WILSON (CRNP) is 1730651233

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE WILSON (CRNP)
NPI
1730651233
Phone
(256) 529-9600
Address
2704 BRANSFORD TRL SE
Enumeration Date
20 December 2018
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562216784
Graduation Year
2018 (8 years ago)
PAC ID
0244576908
Group Practice PAC ID
6002116514
Professional Enrollment ID
I20190117000128
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for KATHERINE WILSON (CRNP)

  • 2704 BRANSFORD TRL SE

    OWENS CROSS ROADS, AL 357638456

    Phone: (256) 529-9600

    Type: Mailing

  • Bank Street Northeast, Decatur, Morgan County, Alabama, 35601, United States

    DECATUR, AL 356011609

    Phone: (256) 274-4523

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Ardelyx, Inc. ($37).

Total Amount

$115

General + Research + Ownership

Payments

6

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-01-17

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
I20190117000128INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35763)

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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: 6002116514View full group profile
NameSpecialtyState
General SurgeryAL
General SurgeryAL

Reviews

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Frequently asked questions

Is there an official ID for KATHERINE WILSON (CRNP) in U.S. healthcare records?
The official identifier for KATHERINE WILSON (CRNP) is NPI 1730651233.
Is there an active status for KATHERINE WILSON (CRNP)?
For scheduling context, KATHERINE WILSON (CRNP) is shown as active in the registry.
How would a patient describe KATHERINE WILSON (CRNP)'s focus?
For KATHERINE WILSON (CRNP), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Alabama is KATHERINE WILSON (CRNP) registered?
Use Owens Cross Roads, Alabama as the headline location for KATHERINE WILSON (CRNP) here.
When was this NPI issued?
Enumeration for KATHERINE WILSON (CRNP) is noted as December 20, 2018 where the registry provides it.

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