WHITNEY E WILSON (APRN) – Nurse Practitioner, NPI 1457947459

WHITNEY E WILSON (APRN) is a healthcare provider. based in Omaha, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 112896 (NE). The NPI Number for WHITNEY E WILSON (APRN) is 1457947459

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
WHITNEY E WILSON (APRN)
NPI
1457947459
Phone
(402) 502-2747
Address
1111 N 102ND CT
Enumeration Date
15 December 2020
Last Update Date
9 May 2022

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4025022747
Graduation Year
2019 (7 years ago)
PAC ID
3577976497
Group Practice PAC ID
5799677019
Professional Enrollment ID
I20210113001255
Address ID
NE681142194OM1111XCTXX422
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,114 NURSE PRACTITIONER in NE

Provider Addresses for WHITNEY E WILSON (APRN)

  • 1111 N 102ND CT

    STE 200

    OMAHA, NE 681142194

    Phone: (402) 502-2747

    Fax: (402) 502-2387

    Type: Mailing

  • 1111 N 102ND CT STE 200

    OMAHA, NE 681142194

    Phone: (402) 502-2747

    Fax: (402) 502-2387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: NxStage Medical, Inc. ($20).

Total Amount

$86

General + Research + Ownership

Payments

5

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2021-01-13

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
I20210113001255INurse PractitionerNETBD

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
90961Dialysis services, 2-3 physician visits per month (20 years or older)2014$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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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: 5799677019View full group profile
NameSpecialtyState
Nephrology, Internal MedicineNE
Nephrology, Internal MedicineNE
Physician AssistantNE
Nephrology, Internal Medicine, Nephrology, Internal MedicineNE
Nurse PractitionerNE
Physician AssistantNE
Nephrology, Internal MedicineCO
Nurse PractitionerNE
N E P H R O L O G YNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

Is there an official ID for WHITNEY E WILSON (APRN) in U.S. healthcare records?
The official identifier for WHITNEY E WILSON (APRN) is NPI 1457947459.
Would WHITNEY E WILSON (APRN) appear as active to a payer?
You can treat WHITNEY E WILSON (APRN) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for WHITNEY E WILSON (APRN)?
At a glance, WHITNEY E WILSON (APRN) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is WHITNEY E WILSON (APRN) located near Omaha?
WHITNEY E WILSON (APRN) currently maps to Omaha, Nebraska in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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