KATHLEEN MARIE WILSON (AGPCNP-BC) – Primary Care Nurse Practitioner, NPI 1861936346

KATHLEEN MARIE WILSON (AGPCNP-BC) is a healthcare provider. based in Fruita, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. APN.0992757-NP (CO). The NPI Number for KATHLEEN MARIE WILSON (AGPCNP-BC) is 1861936346

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MARIE WILSON (AGPCNP-BC)
NPI
1861936346
Phone
(970) 858-2578
Address
551 KOKOPELLI BLVD UNIT H
Enumeration Date
19 December 2016
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702361001
Graduation Year
2016 (10 years ago)
PAC ID
8729361449
Professional Enrollment ID
I20170203000236
Address ID
CO815018117GR2345XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

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Provider Addresses for KATHLEEN MARIE WILSON (AGPCNP-BC)

  • Kokopelli Boulevard, Fruita, Mesa County, Colorado, 81521ADDED SOME HOUSES AND SURFACE TYPES. #KAART GROUP 2017, United States

    FRUITA, CO 815216305

    Phone: (970) 858-2578

    Fax: (970) 858-0798

    Type: Location

  • 2345 N 7TH ST

    GRAND JUNCTION, CO 815018117

    Phone: (970) 236-1001

    Fax: (855) 820-1836

    Type: Mailing

  • 2232 N 7th St Ste 15

    Grand Junction, CO 815017454

    Phone: (970) 216-5795

    Fax: (855) 820-1836

    Type: Location

  • Patterson Road, Grand Junction, Mesa County, Colorado, 81505WAY 0, United States

    GRAND JUNCTION, CO 815053607

    Phone: (970) 236-1001

    Fax: (855) 820-1836

    Type: Mailing

  • 2336 S RIM DR

    GRAND JUNCTION, CO 815071432

    Phone: (970) 216-5795

    Fax: (855) 820-1836

    Type: Mailing

  • 2754 COMPASS DR STE 377

    GRAND JUNCTION, CO 815068723

    Phone: (970) 257-2384

    Fax: (970) 257-2401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $522.

Total Amount is formed as General ($522) + Research ($0) + Ownership ($0) = $522.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Boston Scientific Corporation ($206).

Total Amount

$522

General + Research + Ownership

Payments

15

Total payment records

General Amount

$522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

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: 2017-02-03

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
I20170203000236INurse PractitionerCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8925$0
99215Established patient office or other outpatient visit, 40-54 minutes2312$0
View full utilization report →

Insurance plans in this area (ZIP 81521)

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Reviews

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Frequently asked questions

Where can patients find KATHLEEN MARIE WILSON (AGPCNP-BC)'s NPI?
You can confirm KATHLEEN MARIE WILSON (AGPCNP-BC) with NPI 1861936346; it appears in the national provider directory.
Is KATHLEEN MARIE WILSON (AGPCNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KATHLEEN MARIE WILSON (AGPCNP-BC) list a primary specialty?
If you are matching referrals, note Primary Care Nurse Practitioner for KATHLEEN MARIE WILSON (AGPCNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHLEEN MARIE WILSON (AGPCNP-BC)?
The page summarizes Fruita, Colorado for KATHLEEN MARIE WILSON (AGPCNP-BC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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