DR. HEATHER MARIE WILSON (D.O.) – Family Medicine Physician, NPI 1437533858

DR. HEATHER MARIE WILSON (D.O.) is a healthcare provider. based in Spring park, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 2022031656 (MO). The NPI Number for DR. HEATHER MARIE WILSON (D.O.) is 1437533858

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER MARIE WILSON (D.O.)
NPI
1437533858
Phone
(952) 442-7890
Address
4695 SHORELINE DR
Enumeration Date
15 July 2015
Last Update Date
11 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8166306081
Graduation Year
2015 (11 years ago)
PAC ID
7012295520
Group Practice PAC ID
7315847209
Professional Enrollment ID
I20181108000722
Address ID
MO640629402LA411XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for DR. HEATHER MARIE WILSON (D.O.)

  • 4695 SHORELINE DR

    SPRING PARK, MN 553849715

    Phone: (952) 442-7890

    Type: Mailing

  • 1700 RAINBOW BLVD

    EXCELSIOR SPRINGS, MO 640241182

    Phone: (816) 630-6722

    Fax: (816) 629-3636

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $1,621.

Total Amount is formed as General ($1,621) + Research ($0) + Ownership ($0) = $1,621.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($283).

Total Amount

$1,621

General + Research + Ownership

Payments

89

Total payment records

General Amount

$1,621

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2016-11-02

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
I20161102002897IFamily PracticeMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55384)

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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: 7315847209View full group profile
NameSpecialtyState
Family PracticeMO
Pain Management, Interventional Pain Management, Orthopedic Surgery, Osteopathic Manipulative Medicine, Orthopedic Surgery, Osteopathic Manipulative MedicineKS
Nurse PractitionerMO
Emergency MedicineMO
Nurse PractitionerMO
Emergency MedicineMO
R H E U M A T O L O G YKS
Physician AssistantMO
Emergency Medicine, Family PracticeMO
Emergency MedicineMO

Reviews

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Frequently asked questions

How is DR. HEATHER MARIE WILSON (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. HEATHER MARIE WILSON (D.O.) with NPI 1437533858.
Is DR. HEATHER MARIE WILSON (D.O.) still practicing?
DR. HEATHER MARIE WILSON (D.O.) is currently listed as active in the public NPI registry.
What is DR. HEATHER MARIE WILSON (D.O.) best known for clinically?
Directory data describes DR. HEATHER MARIE WILSON (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. HEATHER MARIE WILSON (D.O.)?
DR. HEATHER MARIE WILSON (D.O.)'s geographic hint is Spring Park, Minnesota 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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