MARY ELLEN WILKOSZ (FNP) – Family Nurse Practitioner, NPI 1457565814
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for MARY ELLEN WILKOSZ (FNP)
469, Estado Way, Novato, Marin County, California, 94945, United States
NOVATO, CA 949451327
Phone: (415) 892-2244
Type: Mailing
105, Rowland Way, Novato, Marin County, California, 94945, United States
NOVATO, CA 94945
Phone: (415) 897-2776
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $106.
Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.
Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Novo Nordisk Inc ($106).
Total Amount
$106
General + Research + Ownership
Payments
1
Total payment records
General Amount
$106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $106 |
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: 2005-07-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050721000287 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 92 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 35 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 20 | $0 |
Insurance plans in this area (ZIP 94945)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| Cardiac Electrophysiology, Internal Medicine, Nuclear Medicine, Cardiovascular Disease (Cardiology) | CA | |
| Surgical Oncology | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery, Sports Medicine | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | CA |
Reviews
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