Lorraine T Wilson, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

12390 Issued in OK

Practice address

13901 McAuley Blvd
Suite 303
Oklahoma City, OK 73134-8700

Phone

(405) 748-5800

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

89.99 of 100Reported as individual

Quality

76.87

Promoting interoperability

100

Improvement activities

40

Cost

73.11

Merit-based Incentive Payment System (MIPS)

Final score

82.74 of 100Reported as group

Quality

68.62

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Oklahoma Kidney Care PC

  • Nephrology Physician
  • Oklahoma City, OK
  • NPI 1336270743

  Nephrology, OK

  Medicare reassignment NPD
• Oklahoma Kidney Care Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oklahoma City, OK
  • NPI 1669658472
  NPD (past) Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1720180029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 MCAULEY BLVD",
            "address_2": "SUITE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348700",
            "telephone_number": "405-748-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 MCAULEY BLVD",
            "address_2": "SUITE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348700",
            "telephone_number": "405-748-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LORRAINE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "12390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsy Wilson, RBT
• Larissa Wilson
• Latoya Keyon Wilson
• Lauren Wilson
• Lester Wilson, BHRS
• Lulla Wilson
• Margaret Louise Wilson, MED
• Maria Nicole Wilson
• Marilyn Joyce Wilson, L.C.S.W
• Marsha Wilson, DR.

• All providers in Oklahoma City, OK
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.