MS. MARJORIE S WILSON NURSE PRACTITIONER NPI 1639266067

NPI Information

  • NPI: 1639266067
  • Provider Name: MS. MARJORIE S WILSON, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 815 BUSINESS PARK DR STE A
    TRAVERSE CITY, MI
    ZIP 49686
  • Phone: (231) 421-6921

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NPI Details

MS. Marjorie S Wilson, NURSE PRACTITIONER is an adult health nurse practitioner in Traverse City, MI. MS. Marjorie S Wilson, NURSE PRACTITIONER NPI is 1639266067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

815 BUSINESS PARK DR STE A
TRAVERSE CITY, MI
ZIP 49686-683
Phone: (231) 421-6921
Fax: (231) 421-7852

The NPI 1639266067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) (HCPCS:J0129)
  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Injection, infliximab, excludes biosimilar, 10 mg (HCPCS:J1745)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Administration of chemotherapy into vein, each additional hour (HCPCS:96415)

The enumeration date for this NPI number is 10/6/2006 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health4704191507MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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