BEVERLY J. WILSON (ANP-BC, AOCN) – Adult Health Nurse Practitioner, NPI 1871566992
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for BEVERLY J. WILSON (ANP-BC, AOCN)
3303 S Bond Ave
Portland, OR 972394501
Phone: (503) 494-6594
Fax: (503) 494-5385
Type: Location
12200 W 110th St
Overland Park, KS 662104045
Phone: (913) 234-0400
Fax: (913) 234-0551
Type: Location
216 14th Ave SW
Sidney, MT 592703519
Phone: (406) 488-2100
Type: Location
901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States
MAILSTOP 400N
KANSAS CITY, MO 64131
Phone: (816) 502-8752
Fax: (816) 932-9670
Type: Mailing
Kansas City, Washington County, Oregon, 97106-9019, United States
KANSAS CITY, MO 641115965
Phone: (816) 932-3300
Fax: (816) 932-5793
Type: Location
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 $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($34).
Total Amount
$34
General + Research + Ownership
Payments
1
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $34 |
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: 2025-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251027002833 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 273 | 201 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 53 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 97239)
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