AMY C WILSON (M.D.) – Pediatric Nephrology Physician, NPI 1578770608

AMY C WILSON (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in PEDIATRIC MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 01066854 (IN). The NPI Number for AMY C WILSON (M.D.) is 1578770608

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
AMY C WILSON (M.D.)
NPI
1578770608
Phone
(317) 274-1201
Address
PO BOX 1026
Enumeration Date
17 May 2007
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8884843258
Graduation Year
2003 (23 years ago)
PAC ID
6901933324
Group Practice PAC ID
9638669815
Professional Enrollment ID
I20100416000105
Address ID
IN462025109IN705XXDRXX400

Contacts

Secure Messaging
awilso29@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

667 PEDIATRIC MEDICINE in IN

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Provider Addresses for AMY C WILSON (M.D.)

  • Indianapolis, Marion County, Indiana, United States

    INDIANAPOLIS, IN 462061026

    Phone: (317) 274-1201

    Fax: (317) 278-9905

    Type: Mailing

  • Riley Hospital for Children, 705, Riley Hospital Drive, Indianapolis, Marion, Indiana, 46202, United States

    INDIANAPOLIS, IN 462025109

    Phone: (317) 944-2563

    Fax: (317) 222-2154

    Type: Location

  • PO BOX 778912

    CHICAGO, IL 606778912

    Phone: (317) 777-6435

    Fax: (317) 777-6644

    Type: Mailing

  • 699 Riley Hospital Dr

    Indianapolis, IN 462025119

    Phone: (317) 274-2563

    Type: Location

  • PO BOX 719094

    CHICAGO, IL 606778912

    Phone: (317) 777-6435

    Fax: (317) 777-6644

    Type: Mailing

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: 2010-04-16

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
I20100416000105INephrologyINTBD

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 minutes4712$0
View full utilization report →

Insurance plans in this area (ZIP 46206)

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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: 9638669815View full group profile
NameSpecialtyState
Infectious Disease, Pediatric MedicineIL
Cardiovascular Disease (Cardiology), Pediatric Medicine, Pediatric MedicineIL
Endocrinology, Pediatric MedicineIN
Critical Care (Intensivists), Pediatric MedicineIN
Infectious Disease, Pediatric MedicineIN
Clinical PsychologistOH
Nephrology, Pediatric MedicineIL
Cardiovascular Disease (Cardiology), Pediatric MedicineIN
Critical Care (Intensivists), Pediatric MedicineOH
Infectious Disease, Pediatric MedicineIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMY C WILSON (M.D.)?
AMY C WILSON (M.D.) — NPI 1578770608 — is the standard way to identify this listing.
Is AMY C WILSON (M.D.) listed as active for patients and plans?
The listing shows AMY C WILSON (M.D.) as active in the NPI system.
What taxonomy line describes AMY C WILSON (M.D.)?
For research purposes, treat AMY C WILSON (M.D.) as Pediatric Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect AMY C WILSON (M.D.) on a map?
Expect Indianapolis, Indiana as a primary anchor for AMY C WILSON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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