MARK P WILSON (FNP) – Family Nurse Practitioner, NPI 1043467145

MARK P WILSON (FNP) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 648078 (TX). The NPI Number for MARK P WILSON (FNP) is 1043467145

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MARK P WILSON (FNP)
NPI
1043467145
Phone
(210) 314-4740
Address
15900 LA CANTERA PKWY
Enumeration Date
20 August 2008
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2109068478
Graduation Year
2008 (18 years ago)
PAC ID
4789861600
Group Practice PAC ID
5799005070
Professional Enrollment ID
I20110602000007
Address ID
TX782593762SA17910RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MARK P WILSON (FNP)

  • San Antonio, Alvear, Barrio Centro, Barrio Irigoyen, Apóstoles, Municipio de Apóstoles, Departamento Apóstoles, Misiones, 3350, Argentina

    SUITE 20265

    SAN ANTONIO, TX 782562422

    Phone: (210) 314-4740

    Fax: (210) 314-4761

    Type: Location

  • 11555 CULEBRA RD LOT 84

    SAN ANTONIO, TX 782534826

    Phone: (210) 379-0501

    Fax: (210) 314-4761

    Type: Mailing

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 $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-07-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-13

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: 2011-06-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110602000007INurse PractitionerTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg17017$0
99214Established patient office or other outpatient visit, 30-39 minutes11593$0
99204New patient office or other outpatient visit, 45-59 minutes7676$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus6862$0
87804Detection test by immunoassay with direct visual observation for influenza virus3819$0
View full utilization report →

Insurance plans in this area (ZIP 78256)

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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: 5799005070View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How do I look up MARK P WILSON (FNP) by NPI?
Use NPI 1043467145 when you need to reference MARK P WILSON (FNP) in forms, claims, or directories.
Does this profile mean MARK P WILSON (FNP) is currently active?
Yes — MARK P WILSON (FNP) appears active in the national provider directory.
Does MARK P WILSON (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MARK P WILSON (FNP). Clinical services aligned with this taxonomy classification.
What location shows for MARK P WILSON (FNP)?
We surface San Antonio, Texas for MARK P WILSON (FNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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