PAMELA DENISE WILSON M.D.
NPI 1083610430
Family Medicine in Milwaukee, WI

Q: What is Pamela Wilson's NPI number?

The NPI number for Pamela Wilson is 1083610430. It was assigned to this individual provider in the NPPES registry on June 21, 2005. The provider is also known as Pamela Denise Boon.

Q: What is Pamela Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Wilson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 21, 2005PECOS Enrolled

2906 S 20TH ST, MILWAUKEE, WI 53215(414) 672-1353(414) 672-4265 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Pamela Denise Wilson M.d. NPPES

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

PAMELA DENISE WILSON M.D. (NPI 1083610430) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (42350) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083610430

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePAMELA DENISE WILSONCredential: M.D.

Location Address2906 S 20TH STMilwaukee, WI 53215-3732

Mailing Address2906 S 20th StMilwaukee, WI 53215-3732 · (414) 672-1353 · Fax (414) 672-4265

Phone(414) 672-1353

Fax(414) 672-4265

Sole ProprietorNo

Enumeration DateJune 21, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1083610430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 42350

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2906 S 20TH ST, Milwaukee, WI 53215

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Other Names 1

Former Name (1)Pamela Denise Boon

Other Identifiers 4

Medicaid34064100WI

Other461310335WI · Humana

Other7426373WI · Aetna

Other8130732WI · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Denise Wilson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Pamela Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sixteenth Street Community Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

2906 S 20TH ST
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: 16th Street Community Health Center Inc.
147 clinicians in this Medicare group

NPI 1518092410 (414) 672-1353

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 53215 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

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