MARY ELLEN WILSON (CNS-BC) – Adult Health Clinical Nurse Specialist, NPI 1518191444
Adult Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
191 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in TX
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Provider Addresses for MARY ELLEN WILSON (CNS-BC)
3350, Executive Drive, San Angelo, Tom Green County, Texas, 76904, United States
SUITE 100
SAN ANGELO, TX 769046878
Phone: (325) 245-4501
Fax: (325) 245-4508
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $303.
Total Amount is formed as General ($303) + Research ($0) + Ownership ($0) = $303.
Last reported payment date: 2024-03-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($110).
Total Amount
$303
General + Research + Ownership
Payments
12
Total payment records
General Amount
$303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-09-09
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 |
|---|---|---|---|---|
| I20140909000850 | I | Certified Clinical Nurse Specialist (Cns) | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 652 | 419 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 422 | 284 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 168 | 144 | $0 |
| 93228 | Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 52 | 51 | $0 |
| 93288 | Evaluation of single, dual, multiple lead or leadless pacemaker system | 40 | 32 | $0 |
Insurance plans in this area (ZIP 76904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS |
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