DR. MICHELLE NICHOLSON-WILSON MD - NPI 1114936069

Q: What is Michelle Nicholson-wilson's NPI number?

The NPI number for Michelle Nicholson-wilson is 1114936069. It was assigned to this individual provider in the NPPES registry on August 7, 2006. The provider is also known as Ms. Michelle N. Wilson M.D..

Q: What is Michelle Nicholson-wilson's specialty?

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

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About Dr. Michelle Nicholson-wilson Md NPPES

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

DR. MICHELLE NICHOLSON-WILSON MD (NPI 1114936069) is an individual family medicine provider in Maxton, North Carolina, licensed in North Carolina (94-00955) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114936069

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHELLE NICHOLSON-WILSONCredential: MD

Location Address610 E DR MARTIN LUTHER KING JR DRMaxton, NC 28364-1800

Mailing Address60 Commerce Drive, P O Box 1659Pembroke, NC 28372-1659 · (910) 521-2900 · Fax (910) 272-1654

Phone(910) 844-5410

Fax(910) 844-3290

Sole ProprietorNo

Enumeration DateAugust 7, 2006

Last NPPES UpdateJune 21, 2010

✔ NPI 1114936069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 94-00955

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.

610 E DR MARTIN LUTHER KING JR DR, Maxton, NC 28364

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Other Names 1

Other Name (5)Ms. Michelle N. Wilson M.d.

Other Identifiers 3

Medicare UPINF70498NC

Medicare ID-Type Unspecified2204152C/2345136

Medicaid7988330 89015A5NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Nicholson-wilson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28364 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 8

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

ROBESON HEALTH CARE CORPORATION

Clinic/Center (Federally Qualified Health Center (FQHC))