MR. PAUL WILSON NP
NPI 1063443984
Nurse Practitioner - Family in Camp Pendleton, CA
About Mr. Paul Wilson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL WILSON NP (NPI 1063443984) is an individual family provider in Camp Pendleton, California, licensed in California (12242) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Paul Wilson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paul Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camarillo, CA 93010
- Reassigned Medicare billing, California enrollment
- 10 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 92055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CAMP PENDLETON, CA 92055
OCEANSIDE, CA 92055
CAMP PENDLETON, CA 92055
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 Paul Wilson's NPI number?
The NPI number for Paul Wilson is 1063443984. It was assigned to this individual provider in the NPPES registry on July 6, 2006.
Where is Paul Wilson located?
Paul Wilson practices at 200 Mercy Circle, Camp Pendleton, CA 92055. The listed phone number is (805) 982-6362.
What is Paul Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Paul Wilson enrolled in Medicare?
Yes. Paul Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Paul Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Wilson reassigns Medicare benefits to Cabrillo Cardiology Medical Group Inc. (Camarillo, CA). 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 Paul 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 Paul Wilson was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mr. Paul Wilson, NP · NPI 1063443984
Family physician in Camp Pendleton, California. Individual provider, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1063443984 (Entity type: Individual)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12242 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MERCY CIRCLE, Camp Pendleton, CA 92055
- **Phone:** (805) 982-6362
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cabrillo Cardiology Medical Group Inc. (NPI 1518930270, Camarillo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063443984) · Data from the CMS NPPES public registry.