MAKENZIE WILSON – Surgical Physician Assistant, NPI 1043970841
Surgical Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MAKENZIE WILSON
3443 Dickerson Pike Ste 720
Nashville, TN 372072527
Phone: (615) 986-1256
Fax: (615) 320-3186
Type: Location
719 THOMPSON LN STE 30330
NASHVILLE, TN 372044701
Phone:
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372320004
Phone: (615) 322-3000
Type: Location
PO BOX 210127
NASHVILLE, TN 372210127
Phone: (615) 986-1256
Fax: (615) 383-0853
Type: Mailing
2400 PATTERSON ST STE 319
NASHVILLE, TN 372031566
Phone: (615) 986-1256
Fax: (615) 320-3186
Type: Location
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 $784.
Total Amount is formed as General ($784) + Research ($0) + Ownership ($0) = $784.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABIOMED ($308).
Total Amount
$784
General + Research + Ownership
Payments
8
Total payment records
General Amount
$784
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $308 |
| Biocomposites Inc | $141 |
| Ethicon US, LLC | $110 |
| Medical Device Business Services, Inc. | $98 |
| Radius Health, Inc. | $90 |
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: 2023-02-17
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 |
|---|---|---|---|---|
| I20230217000584 | I | Physician Assistant | TN | 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 37207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| N E U R O S U R G E R Y | LA | |
| Physician Assistant | TN | |
| N E U R O S U R G E R Y | TN | |
| Physician Assistant | TN | |
| - | TN | |
| N E U R O S U R G E R Y | TN | |
| Nurse Practitioner | TN |
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