BRYCEN WILSON DO
NPI 1114584778
Internal Medicine in La Follette, TN
About Brycen Wilson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYCEN WILSON DO (NPI 1114584778) is an individual internal medicine provider in La Follette, Tennessee, licensed in Tennessee (DO4438) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Lafollette Medical Center, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2019).
NPPES Registry Identity
Specialties & Licenses
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
Brycen Wilson Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Brycen Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Follette, TN 37766
- Reassigned Medicare billing, Tennessee enrollment
- 13 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lafollette Medical Center
Acute Care Hospitals · La Follette, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brycen Wilson's NPI number?
The NPI number for Brycen Wilson is 1114584778. It was assigned to this individual provider in the NPPES registry on May 20, 2019.
Where is Brycen Wilson located?
Brycen Wilson practices at 2145 Jacksboro Pike, La Follette, TN 37766. The listed phone number is (423) 907-1700.
What is Brycen Wilson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Brycen Wilson enrolled in Medicare?
Yes. Brycen 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.
Which organization bills Medicare for Brycen Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brycen Wilson reassigns Medicare benefits to Campbell County Hma LLC (La Follette, TN). 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 Brycen Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brycen Wilson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Brycen 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.
Is Brycen Wilson affiliated with any hospitals?
According to CMS data, Brycen Wilson is affiliated with Lafollette Medical Center.
When was this NPI record last updated?
The NPPES record for Brycen Wilson was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Brycen Wilson, DO · NPI 1114584778
Internal Medicine physician in La Follette, Tennessee. Individual provider, active in the CMS NPPES registry since May 20, 2019.
## Identity
- **NPI:** 1114584778 (Entity type: Individual)
- **Enumerated:** May 20, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DO4438 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2145 JACKSBORO PIKE, La Follette, TN 37766-3003
- **Phone:** (423) 907-1700 · **Fax:** (423) 907-1711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Campbell County Hma LLC (NPI 1639183353, La Follette, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Mem Univ, Debusk Col Of Osteopathic Med, class of 2019
## Record status
- **NPPES last updated:** July 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114584778) · Data from the CMS NPPES public registry.