JULIE MARIE WILSON D.O.
NPI 1093934267
Psychiatry & Neurology - Addiction Medicine in Grand Rapids, MI

Q: What is Julie Wilson's NPI number?

The NPI number for Julie Wilson is 1093934267. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Julie Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Q: When was this NPI record last updated?

The NPPES record for Julie Wilson was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 25, 2007PECOS Enrolled

1179 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 400-5433(616) 320-2034 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Julie Marie Wilson D.o. NPPES

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

JULIE MARIE WILSON D.O. (NPI 1093934267) is an individual addiction medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101015505) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093934267

Entity TypeIndividualFemale

Primary Taxonomy2084A0401X

Provider Legal NameJULIE MARIE WILSONCredential: D.O.

Location Address1179 E PARIS AVE SE STE 100Grand Rapids, MI 49546-3682

Mailing Address1179 E Paris Ave Se Ste 100Grand Rapids, MI 49546-3682 · (616) 400-5433 · Fax (616) 360-2034

Phone(616) 400-5433

Fax(616) 320-2034

Sole ProprietorNo

Enumeration DateApril 25, 2007

Last NPPES UpdateOctober 16, 2024

NPPES CertifiedOctober 16, 2024

✔ NPI 1093934267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in MI · 5101015505

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 5101015505 (MI)

1179 E PARIS AVE SE STE 100, Grand Rapids, MI 49546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Marie Wilson D.o. 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 Reassignments

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

Lifeline Interventional Therapeutics, PLLC

Same address

Psychiatry

1179 E PARIS AVE SE STE 100
Grand Rapids, MI 49546

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1912726811 (616) 400-5433

Crc Recovery, Inc.

11 mi

Mental Health

3584 FAIRLANES AVE. SW, STE 2
Grandville, MI 49418

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1710453485 (616) 222-5300

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 49546 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $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 2

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

MR. WILLIAM PAUL VANLONKHUYZEN PA-C

Physician Assistant

1179 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546

Kent County (616) 400-5433

LIFELINE INTERVENTIONAL THERAPEUTICS, PLLC

Psychiatry & Neurology (Psychiatry)

1179 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546

Kent County (616) 400-5433

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 Julie Wilson's NPI number?

The NPI number for Julie Wilson is 1093934267. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Julie Wilson located?

Julie Wilson practices at 1179 E Paris Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 400-5433.

What is Julie Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Julie Wilson enrolled in Medicare?

Yes. Julie Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Julie Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Wilson reassigns Medicare benefits to 2 organizations: Lifeline Interventional Therapeutics, PLLC (Grand Rapids, MI) and Crc Recovery, Inc. (Grandville, MI). 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 Julie Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Wilson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Julie 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 Julie Wilson was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.