SENETTA WILSON (M.D.) – Family Medicine Physician, NPI 1114333978

SENETTA WILSON (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 125065945 (IL). The NPI Number for SENETTA WILSON (M.D.) is 1114333978

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SENETTA WILSON (M.D.)
NPI
1114333978
Phone
(773) 947-7500
Address
7531 S STONY ISLAND AVE
Enumeration Date
1 July 2014
Last Update Date
11 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474375500
Graduation Year
2012 (14 years ago)
PAC ID
1355612706
Group Practice PAC ID
4486753746
Professional Enrollment ID
I20170803003152
Address ID
IL600073361EL800XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for SENETTA WILSON (M.D.)

  • 7531 S STONY ISLAND AVE

    CHICAGO, IL 606493954

    Phone: (773) 947-7500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-08-03

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
I20170803003152IFamily PracticeILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes535203$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes305128$0
99239Hospital discharge day management, more than 30 minutes163147$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7575$0
99213Established patient office or other outpatient visit, 20-29 minutes2522$0
View full utilization report →

Insurance plans in this area (ZIP 60649)

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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: 4486753746View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Internal MedicineIL
Internal MedicineIL
Hospitalist, Internal MedicineIL
Hospitalist, Internal Medicine, Internal MedicineMD

Reviews

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Frequently asked questions

Is SENETTA WILSON (M.D.) listed with a National Provider Identifier?
Yes — SENETTA WILSON (M.D.) has NPI 1114333978 on file in the registry.
Would SENETTA WILSON (M.D.) appear as active to a payer?
You can treat SENETTA WILSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SENETTA WILSON (M.D.)?
SENETTA WILSON (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SENETTA WILSON (M.D.)?
Travel planning: use Chicago, Illinois as the reference point for SENETTA WILSON (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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