Mrs Renee Proctor Wilson, NP - Medicare Advanced Practice Midwife in Provo, UT

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Mrs Renee Proctor Wilson, NP is a medicare enrolled "Advanced Practice Midwife" in Provo, Utah. Her current practice location is 585 N 500 W, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 404-5588.

Mrs Renee Proctor Wilson is licensed to practice in Utah (license number 9867259) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033202452.

Contact Information

Mrs Renee Proctor Wilson, NP
585 N 500 W,
Provo, UT 84601-1548
(801) 404-5588
(801) 216-8357

Map and Direction




Provider's Profile

Full NameMrs Renee Proctor Wilson
GenderFemale
SpecialityAdvanced Practice Midwife
Location585 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033202452
  • Provider Enumeration Date: 09/30/2006
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305847716
  • Enrollment ID: I20180316000717

Medical Identifiers

Medical identifiers for Mrs Renee Proctor Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033202452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 9867259 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Renee Proctor Wilson allows following entities to bill medicare on her behalf.
Entity NameValley Obstetrics And Gynecology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588863377
PECOS PAC ID: 5890862726
Enrollment ID: O20080918000547
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Renee Proctor Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Renee Proctor Wilson, NP
585 N 500 W,
Provo, UT 84601-1548

Ph: (801) 404-5588		Mrs Renee Proctor Wilson, NP
585 N 500 W,
Provo, UT 84601-1548

Ph: (801) 404-5588

Reviews and Comments


Advanced Practice Midwife Nurses in Provo, UT

Amanda Christensen, PMHNP
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 585 N 500 W, Provo, UT 84601
Phone: 801-374-1801    Fax: 801-216-8357
Tina Nackos, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 585 N 500 W, Provo, UT 84601
Phone: 801-404-5588    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.