KAYLA EILEEN WILSON MD
NPI 1023750676
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kayla Eileen Wilson Md NPPES

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

KAYLA EILEEN WILSON MD (NPI 1023750676) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023750676
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAYLA EILEEN WILSONCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 12, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1023750676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 LAKE AVE N, Worcester, MA 01655

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

Kayla Eileen Wilson Md 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 ID9234697624
PECOS Enrollment IDI20260817000424
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Internal Medicine
85 WORCESTER RD
Framingham, MA 01701
  • Reassigned Medicare billing, Massachusetts enrollment
  • 334 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

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 Kayla Wilson's NPI number?

The NPI number for Kayla Wilson is 1023750676. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Kayla Wilson located?

Kayla Wilson practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Kayla Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kayla Wilson enrolled in Medicare?

Yes. Kayla 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 Kayla Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Wilson reassigns Medicare benefits to Pratt Medical Group, Inc (Framingham, MA). 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 Kayla Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kayla Wilson affiliated with any hospitals?

According to CMS data, Kayla Wilson is affiliated with Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Kayla Wilson was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.