KURTIS WAYNE WILSON (DO) – Family Medicine Physician, NPI 1518536580

KURTIS WAYNE WILSON (DO) is a healthcare provider. based in Norton, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 02008204A (IN). The NPI Number for KURTIS WAYNE WILSON (DO) is 1518536580

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KURTIS WAYNE WILSON (DO)
NPI
1518536580
Phone
(276) 679-7457
Address
295 Wharton Ln NE
Enumeration Date
23 June 2021
Last Update Date
24 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
7657624178
Graduation Year
2020 (6 years ago)
PAC ID
3476083254
Group Practice PAC ID
4486636776
Professional Enrollment ID
I20250207003428
Address ID
IN479938900WI1731XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for KURTIS WAYNE WILSON (DO)

  • 295 Wharton Ln NE

    Norton, VA 242731541

    Phone: (276) 679-7457

    Type: Location

  • 1731 Ringer Ln

    Williamsport, IN 479938900

    Phone: (765) 762-4170

    Type: Location

  • 440 W SONGER LN

    VEEDERSBURG, IN 479878547

    Phone: (765) 762-4180

    Type: Mailing

  • 2415 TRAVIS DR

    LEBANON, IN 460521266

    Phone: (765) 891-1202

    Type: Mailing

  • 295 WHARTON LN NE

    NORTON, VA 242731541

    Phone: (276) 679-7457

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2023-05-31 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($53).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-31

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: 2025-02-07

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
I20250207003428IFamily PracticeINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24273)

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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: 4486636776View full group profile
NameSpecialtyState
Nurse PractitionerIN
General SurgeryIN
Nurse PractitionerIN
Nurse PractitionerIN
Internal MedicineIN
G A S T R O E N T E R O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Internal Medicine, HospitalistIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

How do I look up KURTIS WAYNE WILSON (DO) by NPI?
Use NPI 1518536580 when you need to reference KURTIS WAYNE WILSON (DO) in forms, claims, or directories.
Is KURTIS WAYNE WILSON (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KURTIS WAYNE WILSON (DO) work in?
You can think of KURTIS WAYNE WILSON (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KURTIS WAYNE WILSON (DO)?
The snapshot lists Norton, Virginia for KURTIS WAYNE WILSON (DO); download NPPES for the complete set.
Is KURTIS WAYNE WILSON (DO) a real provider?
This page reflects official NPPES data for NPI 1518536580. Always confirm identity and privileges with the practice and licensing boards.

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