AUDRA WILSON MS, RDN
NPI 1073146874
Dietitian, Registered - Nutrition, Obesity and Weight Management in Geneva, IL

Active since February 20, 2020Accepts Medicare Assignment
300 RANDALL RD STE 100, GENEVA, IL 60134(630) 933-3513 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audra Wilson Ms, Rdn NPPES

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

AUDRA WILSON MS, RDN (NPI 1073146874) is an individual nutrition, obesity and weight management provider in Geneva, Illinois, licensed in Illinois (164006665) and active in the NPI registry since February 2020. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1073146874
Entity TypeIndividualFemale
Primary Taxonomy133VN1201X
Provider Legal NameAUDRA WILSONCredential: MS, RDN
Location Address300 RANDALL RD STE 100Geneva, IL 60134-4200
Mailing Address1217 Rita AveSaint Charles, IL 60174-4441
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 20, 2020
NPI 1073146874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
License Licensed in IL · 164006665
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
300 RANDALL RD STE 100, Geneva, IL 60134

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Audra Wilson Ms, Rdn 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 ID5890191399
PECOS Enrollment IDI20210909000161

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.

Nurse Practitioner (Family)
300 RANDALL RD STE 100
GENEVA, IL 60134
Psychologist (Clinical)
300 RANDALL RD STE 100
GENEVA, IL 60134

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 Audra Wilson's NPI number?

The NPI number for Audra Wilson is 1073146874. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Where is Audra Wilson located?

Audra Wilson practices at 300 Randall Rd Ste 100, Geneva, IL 60134. The listed phone number is (630) 933-3513.

What is Audra Wilson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Audra Wilson enrolled in Medicare?

Yes. Audra 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.

What insurance does Audra Wilson accept?

Health plans from MercyCare Health Plans list Audra 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 Audra Wilson was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.