Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary Jane Lim Wilson, FNP

Individual provider Family Nurse Practitioner · NPI 1467896753

Mrs. Mary Jane Lim Wilson, FNP is a Nurse Practitioner in West Covina, California. Qualified in 2012, 14 years ago. Practices with Emanate Health Medical Care Foundation, a 83-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

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Practice location Address checks out

1705 Aspen Village Way
West Covina, CA 91791-3105 Not confirmed with CMS for 13 years — call before visiting
Phone: (626) 918-3042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22483 (CA)

Record details

NPI number1467896753
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 17, 2013
Last updated in NPPESSeptember 12, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Emanate Health Medical Care Foundation — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients116
Services billed 194 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Emanate Health Foothill Presbyterian Hospital Hospital · Glendora, CA
  • Emanate Health Inter-Community Hospital Hospital · Covina, CA

Colleagues at Emanate Health Medical Care Foundation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 83 clinicians in the practice; 12 are shown here.

Other providers in West Covina