Active NPI 1134169311 Individual Practitioner Female Practitioner

Kim Dittis Wilson , NP

Nurse Practitioner • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Kim Wilson, NP is a registered healthcare professional specializing in Nurse Practitioner in Jackson, MI. Practice services are available at 900 E MICHIGAN AVE STE 105 under active NPI credentials.

Frequently performed procedures and clinical services include telephone medical discussion with physician, established patient outpatient office visit, 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

900 E Michigan Ave Ste 105

Jackson, MI 492012490

Telephone 5177823190

Fax 5177821223

Associated Practice Facility / Clinic

🏢 Pulmonary Clinics Of Southern Michigan Facility NPI 1992818207

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.0 Yrs

State Avg: 10.8 Yrs

Regional Practice Density

52 Specialists

Practicing in Jackson, MI (3626 Statewide)

Telehealth Adoption Rate

21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.4% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	87	82	$82.06	$57.13
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$89.88	$55.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	139	$59.63	$43.42
99442 Telephone medical discussion with physician, 11-20 minutes	48	48	$79.00	$43.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$147.61	$61.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$86.00	$67.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	206	$58.05	$42.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$85.25	$66.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$145.53	$62.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	304	241	$54.20	$42.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$142.05	$64.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$83.30	$63.92
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$111.98	$60.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	137	$78.47	$42.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$146.30	$63.75
99213 Established patient office or other outpatient visit, typically 15 minutes	49	41	$111.98	$58.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$106.09	$65.16

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704131316

(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

Commercial Insurance / Payer ID Rr Meidcare

500017755 (MI)

Secondary Practice Locations

205 N East Ave

Jackson, MI 492011753

Phone: 5177884750

205 N East Ave

Jackson, MI 492011753

Phone: 5177884750

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Anish Wadhwa , MD

Internal Medicine - Pulmonary Disease

NPI 1235348400

Doctor of Medicine (M.D.)

Dr. Robert Albertson , MD

Internal Medicine - Pulmonary Disease

NPI 1487610481

Doctor of Medicine (M.D.)

Dr. Usama Assaad , MD

Internal Medicine - Pulmonary Disease

NPI 1497097174

Doctor of Medicine (M.D.)

Dr. Rami Alzebdeh , MD

Internal Medicine - Pulmonary Disease

NPI 1497954598

Doctor of Medicine (M.D.)

Emily Killian

Nurse Practitioner - Family

NPI 1598363475

Dr. Muhanad Taha , MD

Internal Medicine - Pulmonary Disease

NPI 1679005037

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active October 05, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address October 05, 2017

Registered at 900 E MICHIGAN AVE, STE 105, JACKSON, MI 492012490 (Tel: 5177823190)

📍

Updated Practice Location October 05, 2017

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884750)

👤

Provider Name / Credentials Updated October 05, 2017

Recorded as KIM WILSON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2017

Nurse Practitioner (License #4704131316 in MI)

✅

NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2007

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884750)

📍

Updated Business Mailing Address November 27, 2007

Registered at DEPARTMENT 272801, PO BOX 67000, DETROIT, MI 482672728 (Tel: 5178416913)

👤

Provider Name / Credentials Updated November 27, 2007

Recorded as KIM WILSON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Nurse Practitioner (License #4704131316 in MI)

🟢

Initial NPI Registration & Enumeration June 07, 2006

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: 1134169311

Entity Type:

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

Enumeration Date: June 07, 2006

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

900 E Michigan Ave, Ste 105

Jackson, MI 492012490

Phone: 5177823190

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.