DR. KIMBERLEE VAN WILSON (D.O.) – Psychiatry Physician, NPI 1306134929
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
363 PSYCHIATRY in OK
Provider Addresses for DR. KIMBERLEE VAN WILSON (D.O.)
5300 N INDEPENDENCE AVE STE 280
OKLAHOMA CITY, OK 731125555
Phone: (405) 216-2500
Fax: (405) 216-2501
Type: Mailing
4851 INTEGRIS PARKWAY
EDMOND, OK 73034
Phone: (405) 216-2500
Fax: (405) 216-2501
Type: Location
14502 W MEEKER BLVD
SUN CITY WEST, AZ 853755282
Phone: (632) 524-4143
Type: Mailing
1500 N PRIEST DR # 109
TEMPE, AZ 852881213
Phone: (702) 589-4871
Fax: (702) 589-4872
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $430.
Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($185).
Total Amount
$430
General + Research + Ownership
Payments
8
Total payment records
General Amount
$430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200921001540 | I | Psychiatry | AZ | TBD |
| I20210625001428 | I | Psychiatry | CA | TBD |
| I20240407000022 | I | Psychiatry | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99451 | Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes | 1,763 | 702 | $0 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 1,440 | 539 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 362 | 235 | $0 |
| Q3014 | Telehealth originating site facility fee | 103 | 84 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 73112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| - | AZ | |
| Physician Assistant | AZ | |
| P S Y C H I A T R Y | AZ | |
| Nurse Practitioner | AZ | |
| Clinical Social Worker | AZ | |
| Nurse Practitioner | AZ | |
| Mental Health Counselor | NV | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | AZ |
Reviews
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