MS. DARLENE MARIE WILHELM CNP
NPI 1124373121
Nurse Practitioner - Adult Health in Oregon, OH
About Ms. Darlene Marie Wilhelm Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DARLENE MARIE WILHELM CNP (NPI 1124373121) is an individual adult health provider in Oregon, Ohio, licensed in Ohio (APRN.CNP.13526) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains a secondary practice location in Albuquerque.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
Ms. Darlene Marie Wilhelm Cnp 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 Reassignments
4Medicare enrollment records show Darlene Wilhelm reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43608
- Reassigned Medicare billing, Ohio enrollment
- 11 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 690 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 457 clinicians in this Medicare group
Tucumcari, NM 88401
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presbyterian Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OREGON, OH 43616
OREGON, OH 43616
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 Darlene Wilhelm's NPI number?
The NPI number for Darlene Wilhelm is 1124373121. It was assigned to this individual provider in the NPPES registry on July 17, 2012. The provider is also known as Darlene Gooley.
Where is Darlene Wilhelm located?
Darlene Wilhelm practices at 2702 Navarre Ave Ste 320, Oregon, OH 43616. The listed phone number is (419) 696-5555.
What is Darlene Wilhelm's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Darlene Wilhelm enrolled in Medicare?
Yes. Darlene Wilhelm 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 organizations bill Medicare for Darlene Wilhelm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Wilhelm reassigns Medicare benefits to 4 organizations: Nephrology Associates Of Toledo, Inc. (Toledo, OH), Mercy Health Physicians North Specialty Care LLC (Toledo, OH), Mercy Health Physicians-North LLC (Toledo, OH) and Presbyterian Healthcare Services (Tucumcari, NM). 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 Darlene Wilhelm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Darlene Wilhelm accept?
Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Darlene Wilhelm 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 Darlene Wilhelm affiliated with any hospitals?
According to CMS data, Darlene Wilhelm is affiliated with Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Darlene Wilhelm was last updated on October 12, 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.
# Ms. Darlene Marie Wilhelm, CNP · NPI 1124373121
Adult Health physician in Oregon, Ohio. Individual provider, active in the CMS NPPES registry since July 17, 2012.
## Identity
- **NPI:** 1124373121 (Entity type: Individual)
- **Enumerated:** July 17, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN.CNP.13526 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2702 NAVARRE AVE STE 320, Oregon, OH 43616-3224
- **Phone:** (419) 696-5555
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Nephrology Associates Of Toledo, Inc. (NPI 1962570192, Toledo, OH); Mercy Health Physicians North Specialty Care LLC (NPI 1306468418, Toledo, OH); Mercy Health Physicians-North LLC (NPI 1609000769, Toledo, OH); Presbyterian Healthcare Services (NPI 1962488304, Tucumcari, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124373121) · Data from the CMS NPPES public registry.