Mary Wilson, APN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136986 Issued in TX

Practice address

545 Gulfgate Center Mall
Houston, TX 77087-3023

Phone

(850) 304-7986

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.wilson.p5@direct.caremoreagp.nextgenshare.com
• Direct secure messaging: mary.wilson.4@29601.direct.athenahealth.com
• Direct secure messaging: mary.wilson.2@29601.direct.athenahealth.com
• Direct secure messaging: mary.wilson@centerwell.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1861959298
  Medicare reassignment NPD
• Centerwell Senior Primary Care Az CS PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1255167417
  Medicare reassignment NPD
• Centerwell Senior Primary Care TX CS PA

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1659172112

  TX

  Medicare reassignment NPD
• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Grand Prairie, TX
  • NPI 1255056727
  NPD
• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1689491581
  NPD
• Centerwell Senior Primary Care Az CS PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1326991720
  NPD
• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1447717871
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1639533953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "407-533-6836",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 GULFGATE CENTER MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873023",
            "telephone_number": "850-304-7986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9515 W Camelback Rd Ste 136&138",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850371355",
            "country_code": "US",
            "telephone_number": "850-304-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARY",
        "credential": "APN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21173",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "324482",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.wilson.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "545 Gulfgate Center Mall",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770873023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.wilson.4@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9515 W Camelback Rd Ste 136&138",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850371355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mara Lynn Wilson, MS, RN, FNP-C
• Margaret M Wilson, SLP
• Margaret Nina Wilson, M.A., LPC INTERN
• Mariah Kay Wilson, PT, DPT
• Mariaha Dayleon Wilson, CPNP-PC
• Mary Geralyn Wilson
• Mary Katherine Wilson, APRN, PNP-PC
• Mary Michele Wilson
• Meisha Aimee Wilson, PT
• Micallia L Wilson

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.