ADAM WILBURN FNP
NPI 1093324394
Nurse Practitioner - Family in Toledo, OH

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
905 NEBRASKA AVE, TOLEDO, OH 43607(419) 841-7701(866) 474-4057 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2026, Mar 17, 2025, Nov 10, 2022 and 1 more (4 updates tracked since 2020).

About Adam Wilburn Fnp NPPES

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

ADAM WILBURN FNP (NPI 1093324394) is an individual family provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.0027190) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093324394
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameADAM WILBURNCredential: FNP
Location Address905 NEBRASKA AVEToledo, OH 43607-4222
Mailing Address2005 Ashland AveToledo, OH 43620-1703 · (419) 841-7701 · Fax (866) 474-4057
Fax(866) 474-4057
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 23, 2020
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1093324394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0027190
905 NEBRASKA AVE, Toledo, OH 43607

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

Adam Wilburn Fnp 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 ID2567889835
PECOS Enrollment IDI20200901001683
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 Adam Wilburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Family Medicine
905 NEBRASKA AVE
Toledo, OH 43607
  • Reassigned Medicare billing, Ohio enrollment
  • 75 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43607 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Psychiatry & Neurology (Psychiatry)
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Clinic/Center (Federally Qualified Health Center (FQHC))
905 NEBRASKA AVE
TOLEDO, OH 43607
Peer Specialist
905 NEBRASKA AVE
TOLEDO, OH 43607

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 Adam Wilburn's NPI number?

The NPI number for Adam Wilburn is 1093324394. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Adam Wilburn located?

Adam Wilburn practices at 905 Nebraska Ave, Toledo, OH 43607. The listed phone number is (419) 841-7701.

What is Adam Wilburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Adam Wilburn enrolled in Medicare?

Yes. Adam Wilburn 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 Adam Wilburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Wilburn reassigns Medicare benefits to Zepf Center (Toledo, OH). 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 Adam Wilburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Wilburn accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Adam Wilburn 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.

Is Adam Wilburn affiliated with any hospitals?

According to CMS data, Adam Wilburn is affiliated with Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Wilburn was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.