KATHERINE S WILSON (ARNP) – Family Nurse Practitioner, NPI 1689014961

KATHERINE S WILSON (ARNP) is a healthcare provider. based in Rock island, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. A134042 (IA). The NPI Number for KATHERINE S WILSON (ARNP) is 1689014961

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE S WILSON (ARNP)
NPI
1689014961
Phone
(563) 355-9200
Address
PO BOX 4028
Enumeration Date
1 July 2013
Last Update Date
21 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5634215250
Graduation Year
2012 (14 years ago)
PAC ID
8527292598
Group Practice PAC ID
6103829338
Professional Enrollment ID
I20131004000367

Contacts

Secure Messaging
katherine.wilson@direct.genesishealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

Provider Addresses for KATHERINE S WILSON (ARNP)

  • PO BOX 4028

    ROCK ISLAND, IL 612044028

    Phone: (563) 355-9200

    Fax: (563) 355-3419

    Type: Mailing

  • 1345 W CENTRAL PARK AVE

    DAVENPORT, IA 528041844

    Phone: (563) 421-4400

    Fax: (563) 421-4445

    Type: Location

  • 2535 MAPLECREST RD

    BETTENDORF, IA 527227709

    Phone: (563) 421-5250

    Type: Mailing

  • 1345 W Central Park Ave

    Davenport, IA 528041844

    Phone: (563) 421-4400

    Fax: (563) 421-4445

    Type: Location

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: 2021-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20131004000367INurse PractitionerIATBD
I20210706000526INurse PractitionerILTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes14661$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes8653$0
99316Nursing facility discharge management, more than 30 minutes2020$0
99215Established patient office or other outpatient visit, 40-54 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 61204)

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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: 6103829338View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm KATHERINE S WILSON (ARNP)'s NPI?
Yes. KATHERINE S WILSON (ARNP) is listed with NPI 1689014961 in the public NPI dataset.
Is KATHERINE S WILSON (ARNP) listed as active for patients and plans?
The listing shows KATHERINE S WILSON (ARNP) as active in the NPI system.
What taxonomy line describes KATHERINE S WILSON (ARNP)?
For research purposes, treat KATHERINE S WILSON (ARNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KATHERINE S WILSON (ARNP)?
KATHERINE S WILSON (ARNP)'s geographic hint is Rock Island, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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