Active NPI 1619341260 Individual Practitioner Female Practitioner

Connie Marie Wilson , FNP

Nurse Practitioner • Athol, ID

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Connie Wilson, FNP is a certified Nurse Practitioner practicing in Athol, ID. With approximately 11 years of clinical experience since completing medical education in 2015, Connie Wilson delivers high-quality medical care to the local community at 7173 E SUPER 1 LOOP STE B.

Connie Wilson is affiliated with North Idaho Day Surgery Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7173 E Super 1 Loop Ste B

Athol, ID 838017109

Telephone 2085619901

Fax 2085619968

Associated Practice Facility / Clinic

🏢 North Idaho Day Surgery Llc Facility NPI 1417870445

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Athol, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs Matches City Avg

City Avg: 11.0 Yrs

State Avg: 9.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Athol, ID (602 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (11 Years) 11 Yrs

Athol Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	269	159	$161.48	$78.63
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	140	99	$46.00	$13.37
99213 Established patient office or other outpatient visit, typically 15 minutes	114	83	$127.50	$53.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	41	$260.91	$116.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$318.93	$107.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$308.00	$135.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$287.00	$105.66
81003 Automated urinalysis test	18	15	$23.00	$2.20

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	68	53	$163.66	$77.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	55	$151.00	$78.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$217.00	$103.42
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$125.15	$51.65
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$98.00	$52.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$320.05	$103.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$282.88	$97.34
G0444 Annual depression screening, 5 to 15 minutes	13	13	$28.00	$7.39

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	138	81	$151.00	$79.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$217.00	$104.81
99213 Established patient office or other outpatient visit, typically 15 minutes	74	59	$98.00	$53.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$246.00	$108.17

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	116	75	$151.00	$80.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$217.00	$106.44
99213 Established patient office or other outpatient visit, typically 15 minutes	56	50	$98.00	$54.62

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	96	61	$149.00	$65.07
99213 Established patient office or other outpatient visit, typically 15 minutes	82	59	$97.00	$42.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$217.00	$93.79
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	11	$17.00	$7.05

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	107	70	$148.00	$64.58
99213 Established patient office or other outpatient visit, typically 15 minutes	87	71	$96.00	$41.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$215.00	$93.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$143.00	$61.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	105	$95.00	$41.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	82	$147.00	$63.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$214.00	$92.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	178	132	$85.00	$41.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	83	$131.00	$63.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$200.00	$91.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$215.00	$104.24

Medical Specialties & State Licenses

CMS Verified: 2025-03-25

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID NP-1655A

(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

1619341260 (ID)

Hospital & Practice Group Affiliations

North Idaho Day Surgery Llc

7173 E Super 1 Loop, Athol, ID 838017109

Phone: 2085619901

Practice Associates & Co-Workers

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

2 Associated Practitioners

Holly Heyne , FNP-C

Nurse Practitioner - Family

NPI 1003315789

Family Nurse Practitioner (Certified)

Rachel Kallemeyn , FNP

Nurse Practitioner - Family

NPI 1235696287

Family Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 19, 2023

Registered at 7173 E SUPER 1 LOOP STE B, ATHOL, ID 838017109 (Tel: 2085619901)

📍

Updated Business Mailing Address July 19, 2023

Registered at 1593 E POLSTON AVE, POST FALLS, ID 838545326 (Tel: 2082622498)

✅

NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2016

Registered at 1919 LINCOLN WAY, SUITE 315, COEUR D ALENE, ID 838142527 (Tel: 2086256000)

📍

Updated Business Mailing Address October 24, 2016

Registered at 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 838146051 (Tel: 2086254000)

👤

Provider Name / Credentials Updated October 24, 2016

Recorded as CONNIE WILSON, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2016

Nurse Practitioner (License #NP-1655A in ID)

🟢

Initial NPI Registration & Enumeration November 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619341260

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 19, 2015

Last Update: March 25, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1593 E Polston Ave

Post Falls, ID 838545326

Phone: 2082622498

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.