MR. MATTHEW TODD WILSON (ACNS-BC, APN) – Adult Health Clinical Nurse Specialist, NPI 1295045425

MR. MATTHEW TODD WILSON (ACNS-BC, APN) is a healthcare provider. based in Wyoming, Illinois. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials ACNS-BC, APN. They hold a License No. 209.008422 (IL). The NPI Number for MR. MATTHEW TODD WILSON (ACNS-BC, APN) is 1295045425

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW TODD WILSON (ACNS-BC, APN)
NPI
1295045425
Phone
(309) 606-3152
Address
102 N 3RD ST
Enumeration Date
21 October 2010
Last Update Date
21 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096244000
Graduation Year
2010 (16 years ago)
PAC ID
6204069693
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20140509001614
Address ID
IL616033089PE200XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

137 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in IL

Provider Addresses for MR. MATTHEW TODD WILSON (ACNS-BC, APN)

  • 102 N 3RD ST

    WYOMING, IL 614911223

    Phone: (309) 606-3152

    Type: Mailing

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone: (309) 655-2000

    Fax: (309) 655-7869

    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 $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Kerecis Limited ($161).

Total Amount

$161

General + Research + Ownership

Payments

1

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kerecis Limited$161
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: 2014-05-09

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
I20140509001614ICertified Clinical Nurse Specialist (Cns)ILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5034$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2717$0
View full utilization report →

Insurance plans in this area (ZIP 61491)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

How is MR. MATTHEW TODD WILSON (ACNS-BC, APN) identified in CMS data?
CMS-hosted NPPES data lists MR. MATTHEW TODD WILSON (ACNS-BC, APN) with NPI 1295045425.
Is MR. MATTHEW TODD WILSON (ACNS-BC, APN) listed as active for patients and plans?
The listing shows MR. MATTHEW TODD WILSON (ACNS-BC, APN) as active in the NPI system.
What taxonomy line describes MR. MATTHEW TODD WILSON (ACNS-BC, APN)?
For research purposes, treat MR. MATTHEW TODD WILSON (ACNS-BC, APN) as Adult Health Clinical Nurse Specialist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. MATTHEW TODD WILSON (ACNS-BC, APN) on a map?
Expect Wyoming, Illinois as a primary anchor for MR. MATTHEW TODD WILSON (ACNS-BC, APN) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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