Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073531687 Individual Practitioner Female Practitioner

Mary S Wilson , NP

Nurse Practitioner • Ocean View, HI

Professional Overview & Biography Verified Profile Summary

Mary Wilson, NP is a registered healthcare professional specializing in Nurse Practitioner in Ocean View, HI. Practice services are available at 92-8691 LOTUS BLOSSOM LANE 6&7 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

92-8691 Lotus Blossom Lane 6&7
92-8691 Lotus Blossom Lane 6&7

Ocean View, HI 967379673

Telephone 8089398100
Fax 8088293672
Associated Practice Facility / Clinic
🏢 Kau Wellness Llc Facility NPI 1538611173

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ocean View, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Ocean View, HI (222 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
33 28 $173.51 $98.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
13 12 $232.89 $130.65

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License HI APRN-1997

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1073531687 (VA)
Medicaid State Provider ID
10106478 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1225124324

Doctor of Medicine (M.D.)

Denise Carey , FNP-C

Nurse Practitioner - Family

NPI 1245948355

Family Nurse Practitioner (Certified)

Eileen Crane , PT

Physical Therapist

NPI 1326865270

Physical Therapist

Marina Padilla , APRN

Nurse Practitioner - Adult Health

NPI 1528503232

Advanced Practice Registered Nurse

Dr. Doede Donaugh , DO

Family Medicine

NPI 1700076957

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location February 21, 2019

Registered at 92-8691 LOTUS BLOSSOM LANE 6&7, 92-8691 LOTUS BLOSSOM LANE 6&7, OCEAN VIEW, HI 967379673 (Tel: 8089398100)

NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 11, 2017

Registered at PO BOX 6065, OCEAN VIEW, HI 967376065 (Tel: 8089398100)

📍
Updated Practice Location April 11, 2017

Registered at 1250 E MARSHALL STREET, NEUROLOGY, RICHMOND, VA 232980599 (Tel: 8048280442)

👤
Provider Name / Credentials Updated April 11, 2017

Recorded as MARY WILSON, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Nurse Practitioner (License #APRN-1997 in HI)

NPI Profile Active November 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2015

Registered at 1250 E MARSHALL STREET, NEUROLOGY, RICHMOND, VA 232980599 (Tel: 8048280442)

📍
Updated Business Mailing Address November 30, 2015

Registered at 64-1032 MAMALAHOA HWY 306, KAMUELA, HI 967438441 (Tel: 8089398100)

👤
Provider Name / Credentials Updated November 30, 2015

Recorded as MARY WILSON, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2015

Nurse Practitioner (License #APRN-1997 in HI)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mary Wilson. Be the first to share your experience!

Sign in to leave a review for Mary Wilson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1073531687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: February 21, 2019
Sole Proprietor: No

Mailing Address

Po Box 6065

Ocean View, HI 967376065

Phone: 8089398100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.