GARY MARK WILSON (NP) – Family Nurse Practitioner, NPI 1962844522
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for GARY MARK WILSON (NP)
PO BOX 10800
DAYTONA BEACH, FL 321200800
Phone: (386) 274-7800
Fax: (386) 274-7801
Type: Mailing
1301 1ST ST
KENNETT, MO 638572525
Phone: (573) 888-8400
Fax: (573) 888-6688
Type: Location
PO BOX 1960
JONESBORO, AR 724031960
Phone: (870) 936-8000
Fax: (870) 934-3659
Type: Mailing
4901 E JOHNSON AVE
JONESBORO, AR 724058417
Phone: (870) 936-8000
Fax: (870) 934-3659
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($32).
Total Amount
$55
General + Research + Ownership
Payments
3
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $32 |
| ABBVIE INC. | $23 |
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: 2014-12-19
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 |
|---|---|---|---|---|
| I20141219000103 | I | Nurse Practitioner | AR | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 330 | 63 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 133 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 113 | 62 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 102 | 88 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 32120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AR | |
| Internal Medicine | AR | |
| - | CA | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | TN | |
| - | AR | |
| Nurse Practitioner | TN | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | TN | |
| Nurse Practitioner | AR |
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