JANENA GRACE WILSON (FNP) – Family Nurse Practitioner, NPI 1215222666

JANENA GRACE WILSON (FNP) is a healthcare provider. based in Chandler, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 86757 (OK). The NPI Number for JANENA GRACE WILSON (FNP) is 1215222666

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JANENA GRACE WILSON (FNP)
NPI
1215222666
Phone
(405) 258-9955
Address
806 MANVEL AVE
Enumeration Date
14 June 2011
Last Update Date
7 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052589955
Graduation Year
2010 (16 years ago)
PAC ID
8426213968
Group Practice PAC ID
2062503709
Professional Enrollment ID
I20120706000253
Address ID
OK748343858CH806XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for JANENA GRACE WILSON (FNP)

  • 806 MANVEL AVE

    CHANDLER, OK 748343858

    Phone: (405) 258-9955

    Fax: (405) 258-9930

    Mailing address matches the actual address.

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Lilly USA, LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$15
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: 2012-07-06

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
I20120706000253INurse PractitionerOKTBD

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 74834)

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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: 2062503709View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineOK

Reviews

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Frequently asked questions

What identifier follows JANENA GRACE WILSON (FNP) across health systems?
The NPI 1215222666 uniquely identifies JANENA GRACE WILSON (FNP) in U.S. healthcare data.
Does the public listing show JANENA GRACE WILSON (FNP) as active?
JANENA GRACE WILSON (FNP)'s NPI record reflects an active status in NPPES.
What services align with JANENA GRACE WILSON (FNP)'s listing?
JANENA GRACE WILSON (FNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JANENA GRACE WILSON (FNP)?
JANENA GRACE WILSON (FNP) shows a connection to Chandler, Oklahoma in registry-derived data.
Why is information missing for JANENA GRACE WILSON (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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