MEGAN MARIE WILSON
NPI 1023843034
Nurse Practitioner - Women's Health in Butler, PA

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
323 SUNSET DR STE 2, BUTLER, PA 16001(724) 282-2730 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2026, Sep 9, 2024 (2 updates tracked since 2024).

About Megan Marie Wilson NPPES

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

MEGAN MARIE WILSON (NPI 1023843034) is an individual women's health provider in Butler, Pennsylvania, licensed in Pennsylvania (SP030187) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Walton Beach, and is a graduate of Drexel University College Of Medicine (2024).

NPPES Registry Identity

NPI1023843034
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMEGAN MARIE WILSON
Location Address323 SUNSET DR STE 2Butler, PA 16001-4017
Mailing Address402 Edgewood DrSarver, PA 16055-9265 · (724) 496-9299
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2024
Enumeration DateSeptember 9, 2024
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1023843034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in PA · SP030187✔ Licensed in FL · APRN11034202
323 SUNSET DR STE 2, Butler, PA 16001

Secondary Practice Location 1

Location 11046 Mar Walt Dr Ste 200Fort Walton Beach, FL 32547-6645 · Phone (850) 243-2229

Accepted Insurance

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

Megan Marie Wilson 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 ID6901338979
PECOS Enrollment IDI20241015002893, I20260507002739
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 Reassignments

2

Medicare enrollment records show Megan Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Nutrition, Education
323 SUNSET DR, SUITE N
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 49 clinicians in this Medicare group
Obstetrics & Gynecology
1046 MAR WALT DR, SUITE 200
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Diana Health Fl, PA
  • 98 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dietitian, Registered
323 SUNSET DR STE 2
BUTLER, PA 16001

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 Megan Wilson's NPI number?

The NPI number for Megan Wilson is 1023843034. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Megan Wilson located?

Megan Wilson practices at 323 Sunset Dr Ste 2, Butler, PA 16001. The listed phone number is (724) 282-2730.

What is Megan Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Megan Wilson enrolled in Medicare?

Yes. Megan 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 organizations bill Medicare for Megan Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Wilson reassigns Medicare benefits to 2 organizations: Adagio Health Inc. (Butler, PA) and Diana Health Fl P.A. (Fort Walton Beach, FL). Each 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 Megan Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Wilson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Megan Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Megan Wilson was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.