STEPHANIE WILSON (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1386060929

STEPHANIE WILSON (NURSE PRACTITIONER) is a healthcare provider. based in Memphis, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. A810574 (MS). The NPI Number for STEPHANIE WILSON (NURSE PRACTITIONER) is 1386060929

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE WILSON (NURSE PRACTITIONER)
NPI
1386060929
Phone
(901) 747-1000
Address
6305 HUMPHREYS BLVD STE 205
Enumeration Date
6 March 2014
Last Update Date
11 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236022750
Graduation Year
2013 (13 years ago)
PAC ID
5395969661
Group Practice PAC ID
1658671052
Professional Enrollment ID
I20140609000436
Address ID
TN374214907CH2358XWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for STEPHANIE WILSON (NURSE PRACTITIONER)

  • 6305 HUMPHREYS BLVD STE 205

    MEMPHIS, TN 381202379

    Phone: (901) 747-1000

    Fax: (901) 747-1001

    Type: Mailing

  • 2358 LIFESTYLE WAY STE 100

    CHATTANOOGA, TN 374214907

    Phone: (423) 602-2750

    Fax: (423) 602-2762

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $2,632.

Total Amount is formed as General ($2,632) + Research ($0) + Ownership ($0) = $2,632.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($320).

Total Amount

$2,632

General + Research + Ownership

Payments

113

Total payment records

General Amount

$2,632

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140609000436INurse PractitionerTNTBD
I20230828002722INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml91524$0
99213Established patient office or other outpatient visit, 20-29 minutes310285$0
99214Established patient office or other outpatient visit, 30-39 minutes114110$0
93880Ultrasound of both sides of head and neck blood flow6664$0
82565Blood creatinine level4140$0
View full utilization report →

Insurance plans in this area (ZIP 38120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658671052View full group profile
NameSpecialtyState
Vascular SurgeryVA
Nurse PractitionerTN
Nurse PractitionerTN
Vascular SurgeryTN
Physician AssistantFL
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Vascular Surgery, General Surgery, Vascular SurgeryNV

Reviews

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Frequently asked questions

Does STEPHANIE WILSON (NURSE PRACTITIONER) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEPHANIE WILSON (NURSE PRACTITIONER) uses 1386060929.
Is STEPHANIE WILSON (NURSE PRACTITIONER) listed as active for patients and plans?
The listing shows STEPHANIE WILSON (NURSE PRACTITIONER) as active in the NPI system.
What is STEPHANIE WILSON (NURSE PRACTITIONER) best known for clinically?
Directory data describes STEPHANIE WILSON (NURSE PRACTITIONER) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE WILSON (NURSE PRACTITIONER)?
STEPHANIE WILSON (NURSE PRACTITIONER)'s geographic hint is Memphis, Tennessee in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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