Mary Kate Wilson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

166739 Issued in FL

Practice address

206 Ashourian Ave Ste 215
St Augustine, FL 32092-5107

Phone

(904) 296-0098

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, SC2 enrollments

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 2

Specialty

Ophthalmology

Education

University of Florida College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pisgah Eye Surgeons LLCGroup PAC ID 8729501663, 4 clinicians

North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.79 of 100Reported as group

Quality

64.42

Promoting interoperability

100

Improvement activities

40

Cost

74.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.wilson.p3@direct.theeyeassociates.nextgenshare.com
• Direct secure messaging: mary.wilson.p1@direct.theeyeassociates.nextgenshare.com

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

• Eye Associates of Manatee, LLP

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1366483851
  Medicare reassignment Care Compare group NPD
• North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1912953290
  Medicare reassignment Care Compare group NPD
• Pisgah Eye Surgeons LLC

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1285449496
  Medicare reassignment Care Compare group
• Eye Associates of Manatee LLP

  dba Eye Centers Of Florida

  • Eyewear Supplier
  • Fort Myers, FL
  • NPI 1659091759
  NPD
• North Florida Surgeons, PA

  dba NFS Florida Bone and Joint

  • Orthopaedic Surgery Physician
  • Gulf Breeze, FL
  • NPI 1871442053
  NPD
• Eye Associates of Manatee LLP

  dba Eye Associates Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bradenton, FL
  • NPI 1568460889
  NPD (past)
• Eye Surgery Center of North Florida LLC

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
  • NPI 1275740839
  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1750910949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE STE 215",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925107",
            "telephone_number": "904-296-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Shircliff Way Ste 134",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044785",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Beach Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322502643",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7205 Bentley Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567565",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12341 Yellow Bluff Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322262014",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARY",
        "middle_name": "KATE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "166739",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME166739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williemae Mind & Body Inc Dba Stretchlab First Coast (StretchLab)
• Angelique Willis, APRN
• Bryant Wilson, MD
• Jennifer Leighs Wilson, PHD, LCSW
• Kristen Lynn Wilson, DNP, CRNA
• Rebecca Wilson
• Terrence James Wilson, MD, MPH
• Uliana Wilson
• Brooke Alison Wimberley, DNP, FNP-BC
• Phillip Alex Wimpelberg, PA

• Ophthalmology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.