Mary Wilson, MD
NPI 1992764054 · Emergency Medicine Physician · Champlin, MN
Enrolled with Medicare as Order and Referring Only - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Wilson, MD is a Emergency Medicine Physician provider in Champlin, MN (NPI 1992764054).
Provider details
- NPI number
- 1992764054
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 33356 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-18
- Last updated
- 2010-11-16
Frequently asked questions
- What is Mary Wilson's NPI number?
- Mary Wilson's National Provider Identifier (NPI) is 1992764054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Wilson's specialty?
- Mary Wilson is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Wilson located?
- Mary Wilson's practice location on file with NPPES is 11665 Pondview Ct, Champlin, MN 55316-2629.
- What is Mary Wilson's phone number?
- The practice phone number listed in the NPPES registry for Mary Wilson is (763) 421-9387.
- Does Mary Wilson accept Medicare?
- Mary Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Wilson's NPI active?
- Yes — Mary Wilson's NPI (1992764054) is active in the NPPES registry as of the last update on 2010-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.