NESSA MARIE WILSON (LCSW) – Clinical Social Worker, NPI 1891825048
Clinical Social Worker
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,405 CLINICAL SOCIAL WORKER in OR
Provider Addresses for NESSA MARIE WILSON (LCSW)
2577 NE COURTNEY DR
BEND, OR 977017638
Phone: (541) 322-7500
Fax: (541) 322-7565
Type: Location
367 W JEFFERSON AVE
SISTERS, OR 977591439
Phone: (541) 280-3885
Type: Mailing
54771 MCKENZIE HWY
BLUE RIVER, OR 974139790
Phone: (541) 822-3341
Type: Location
2577 NE Courtney Dr
Bend, OR 977017638
Phone: (541) 322-7500
Fax: (541) 322-7565
Type: Location
2542 NE Courtney Dr
Bend, OR 977017685
Phone: (541) 549-1318
Fax: (541) 588-6002
Type: Location
2542 NE COURTNEY DR
BEND, OR 977017685
Phone: (541) 549-1318
Fax: (541) 588-6002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-02-25
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 |
|---|---|---|---|---|
| I20140225002204 | I | Clinical Social Worker | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | FL | |
| Clinical Social Worker | OR | |
| Physician Assistant | OR | |
| N E U R O L O G Y | CA | |
| Nurse Practitioner | OR | |
| Mental Health Counselor | OR | |
| Nurse Practitioner | OR | |
| - | OR |
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