Active NPI 1780952580 Individual Practitioner Female Practitioner

Loretta Eve Wilson , FNP

Nurse Practitioner • Van, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Loretta Wilson, FNP is a certified Nurse Practitioner practicing in Van, TX. With approximately 15 years of clinical experience since completing medical education in 2011, Loretta Wilson delivers high-quality medical care to the local community at 488 W. MAIN STREET.

Loretta Wilson accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

488 W. Main Street
Ste 101

Van, TX 757902608

Telephone 9039636850

Fax 9035095835

Associated Practice Facility / Clinic

🏢 Van Health And Wellness, Pllc Facility NPI 1194482778

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Van, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs Matches City Avg

City Avg: 15.0 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Van, TX (4894 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (15 Years) 15 Yrs

Van Specialty Average (15.0 Years) 15.0 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	38	25	$150.00	$104.26
36415 Insertion of needle into vein for collection of blood sample	21	14	$25.00	$8.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	11	$60.00	$11.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	12	11	$35.00	$0.97

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	66	43	$150.00	$104.61
36415 Insertion of needle into vein for collection of blood sample	26	13	$25.00	$8.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	19	$35.00	$1.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$91.16
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$125.00	$73.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	43	$123.97	$74.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$200.00	$91.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	30	$35.14	$1.13
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	34	30	$60.00	$41.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	24	$36.32	$11.77
36415 Insertion of needle into vein for collection of blood sample	33	33	$25.00	$2.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$35.00	$16.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	15	$150.00	$105.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	373	61	$133.00	$37.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	140	$238.00	$66.50
99213 Established patient office or other outpatient visit, typically 15 minutes	169	124	$160.00	$42.93
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	125	61	$150.00	$42.17
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	43	32	$170.00	$15.85
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$160.00	$61.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$322.00	$93.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	491	78	$133.54	$37.44
99213 Established patient office or other outpatient visit, typically 15 minutes	239	158	$160.00	$61.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	172	$238.00	$89.32
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	170	79	$152.77	$43.00
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	62	47	$170.00	$15.96
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	62	24	$133.00	$37.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	14	$103.00	$32.87
99213 Established patient office or other outpatient visit, typically 15 minutes	53	51	$160.00	$42.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$238.00	$65.82
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	25	24	$150.00	$42.42
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	14	14	$170.00	$15.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$322.00	$120.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	307	192	$160.00	$59.27
95978 Electronic analysis and programming of implanted complex deep brain neurostimulator generator system, first hour	223	92	$750.00	$206.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	172	$238.00	$88.38
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	97	64	$170.00	$54.70
95979 Electronic analysis and programming of implanted complex deep brain neurostimulator generator system	22	12	$350.00	$89.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$103.00	$31.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$322.00	$119.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	414	204	$131.22	$59.15
95978 Electronic analysis and programming of implanted complex deep brain neurostimulator generator system, first hour	250	95	$750.00	$202.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	143	$196.68	$87.19
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	78	49	$170.00	$54.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$103.00	$32.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	11	$286.24	$117.85

Medical Specialties & State Licenses

CMS Verified: 2022-03-14

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP121117

(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.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Telisha Nemec , NP

Nurse Practitioner

NPI 1306565577

Nurse Practitioner

Kelsey Newton , APRN, FNP-C

Nurse Practitioner - Family

NPI 1831706530

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location March 25, 2022

Registered at 488 W. MAIN STREET, STE 101, VAN, TX 757902608 (Tel: 9039636850)

📍

Updated Business Mailing Address March 25, 2022

Registered at 488 W. MAIN STREET, STE 101, VAN, TX 757902608 (Tel: 9039636850)

📍

Updated Practice Location July 11, 2019

Registered at 700 OLYMPIC PLAZA CIR STE 904, TYLER, TX 757011958 (Tel: 9035356092)

📍

Updated Business Mailing Address July 11, 2019

Registered at PO BOX 130549, TYLER, TX 757130549 (Tel: 9035793931)

👤

Provider Name / Credentials Updated July 11, 2019

Recorded as LORETTA WILSON, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Nurse Practitioner (License #AP121117 in TX)

✅

NPI Profile Active February 01, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2017

Registered at 106 E GILMER ST, BIG SANDY, TX 757552129 (Tel: 9036365366)

📍

Updated Business Mailing Address February 01, 2017

Registered at 4002 TECHNOLOGY CTR, LONGVIEW, TX 756052697 (Tel: 9032470484)

👤

Provider Name / Credentials Updated February 01, 2017

Recorded as LORETTA DAUGHTRY, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2017

Family Medicine (License #673182 in TX)

✅

NPI Profile Active December 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 07, 2011

Registered at 106 E GILMER ST, BIG SANDY, TX 757552129 (Tel: 9036365366)

📍

Updated Business Mailing Address December 07, 2011

Registered at 4002 TECHNOLOGY CTR, LONGVIEW, TX 756052697 (Tel: 9032470484)

👤

Provider Name / Credentials Updated December 07, 2011

Recorded as LORETTA WILSON, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2011

Family Medicine (License #673182 in TX)

🟢

Initial NPI Registration & Enumeration December 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780952580

Entity Type:

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

Enumeration Date: December 07, 2011

Last Update: March 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

488 W. Main Street, Ste 101

Van, TX 757902608

Phone: 9039636850

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.