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DR. NICKOLAS S WILSON D.C
NPI 1023451465
Chiropractor in Indianapolis, IN

Active since April 16, 2013Accepts Medicare Assignment
3940 W 96TH ST, INDIANAPOLIS, IN 46268(317) 749-0677(317) 735-8753 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nickolas S Wilson D.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICKOLAS S WILSON D.C (NPI 1023451465) is an individual chiropractor in Indianapolis, Indiana, licensed in Indiana (08002708A) and active in the NPI registry since April 2013. He is a graduate of Logan College Of Chiropractic (2012).

NPPES Registry Identity

NPI1023451465
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NICKOLAS S WILSONCredential: D.C
Location Address3940 W 96TH STIndianapolis, IN 46268-2922
Mailing Address2456 Lake Circle DrIndianapolis, IN 46268-4219 · (317) 626-2700 · Fax (317) 844-8130
Phone(317) 749-0677
Fax(317) 735-8753
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2012
Enumeration DateApril 16, 2013
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1023451465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08002708A
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3940 W 96TH ST, Indianapolis, IN 46268
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nickolas S Wilson D.c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315177656
PECOS Enrollment IDI20140305001893

Medicare Billing Reassignment

Medicare enrollment records show Nickolas Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indy Family Chiropractic LLC
Same address
Chiropractor
3940 W 96TH ST
Indianapolis, IN 46268
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1669893954 (317) 749-0677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES STAMPER DC
Chiropractor
3940 W 96TH ST
INDIANAPOLIS, IN 46268
Marion County (317) 749-0677
INDY FAMILY CHIROPRACTIC LLC
Chiropractor
3940 W 96TH ST
INDIANAPOLIS, IN 46268
Marion County (317) 749-0677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickolas Wilson's NPI number?

The NPI number for Nickolas Wilson is 1023451465. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Nickolas Wilson located?

Nickolas Wilson practices at 3940 W 96th St, Indianapolis, IN 46268. The listed phone number is (317) 749-0677.

What is Nickolas Wilson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nickolas Wilson enrolled in Medicare?

Yes. Nickolas Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nickolas Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickolas Wilson reassigns Medicare benefits to Indy Family Chiropractic LLC (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nickolas Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nickolas Wilson was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.