SUSAN F WILSON (MD) – Obstetrics & Gynecology Physician, NPI 1184889362

SUSAN F WILSON (MD) is a healthcare provider. based in Sacramento, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. A142472 (CA). The NPI Number for SUSAN F WILSON (MD) is 1184889362

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN F WILSON (MD)
NPI
1184889362
Phone
Not provided
Address
4860 Y ST STE 2500
Enumeration Date
27 July 2008
Last Update Date
30 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169202082
Graduation Year
2008 (18 years ago)
PAC ID
4183864747
Group Practice PAC ID
3779580196
Professional Enrollment ID
I20161026000580
Address ID
CA958255480SA77XXXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for SUSAN F WILSON (MD)

  • Y Street, Sacramento, Sacramento County, California, 95817, United States

    SACRAMENTO, CA 958172307

    Phone:

    Type: Mailing

  • 8120 Timberlake Way Ste 201

    Sacramento, CA 958235414

    Phone: (916) 920-2082

    Fax: (916) 681-7909

    Type: Location

  • 77 CADILLAC DR STE 230

    SACRAMENTO, CA 958255480

    Phone: (916) 920-2082

    Fax: (916) 920-5709

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $372.

Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($92).

Total Amount

$372

General + Research + Ownership

Payments

20

Total payment records

General Amount

$372

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2016-10-26

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
I20161026000580IObstetrics/GynecologyCATBD

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 95817)

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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: 3779580196View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

Does SUSAN F WILSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUSAN F WILSON (MD) uses 1184889362.
Can I rely on SUSAN F WILSON (MD) being an active provider?
As of the registry snapshot, SUSAN F WILSON (MD) is marked active.
What is SUSAN F WILSON (MD)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for SUSAN F WILSON (MD) here. Clinical services aligned with this taxonomy classification.
What area does SUSAN F WILSON (MD) serve?
SUSAN F WILSON (MD)'s listing highlights Sacramento, California; more addresses can appear in NPPES.
Is the information about SUSAN F WILSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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