KRISTIN WILSON (NP) – Nurse Practitioner, NPI 1376792192
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KRISTIN WILSON (NP)
311, 3rd Street, Union City, Hudson County, New Jersey, 07087, United States
UNION CITY, TN 382613723
Phone: (731) 507-0062
Type: Mailing
8132, Cordova Road, Cordova, Memphis, Shelby County, Tennessee, 38016, United States
CORDOVA, TN 38016
Phone: (901) 405-6470
Fax: (901) 747-2338
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,803.
Total Amount is formed as General ($1,803) + Research ($0) + Ownership ($0) = $1,803.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: PROTEGA PHARMACEUTIALS INC ($651).
Total Amount
$1,803
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,803
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PROTEGA PHARMACEUTIALS INC | $651 |
| Abbott Laboratories | $294 |
| Medtronic, Inc. | $180 |
| SCILEX PHARMACEUTICALS INC. | $147 |
| PFIZER INC. | $129 |
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: 2009-04-13
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 |
|---|---|---|---|---|
| I20090413000276 | I | Nurse Practitioner | 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 38261)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IN | |
| - | IN | |
| Pain Management, Anesthesiology, Interventional Pain Management | IN | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | IN | |
| - | IN | |
| Interventional Pain Management, Anesthesiology | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | IN |
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