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SELENA LINDA WILSON NURSE PRACTITIONER
NPI 1124715503
Nurse Practitioner - Family in Columbus, OH

Active since April 18, 2023PECOS Enrolled
6460 SKIMMER LN, COLUMBUS, OH 43230(614) 809-0723 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Selena Linda Wilson Nurse Practitioner NPPES

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

SELENA LINDA WILSON NURSE PRACTITIONER (NPI 1124715503) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0034307) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124715503
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSELENA LINDA WILSONCredential: NURSE PRACTITIONER
Location Address6460 SKIMMER LNColumbus, OH 43230-6479
Mailing Address6460 Skimmer LnColumbus, OH 43230-6479 · (614) 809-0723
Phone(614) 809-0723
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1124715503 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.0034307
6460 SKIMMER LN, Columbus, OH 43230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selena Linda Wilson Nurse Practitioner 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 Reassignment

Medicare enrollment records show Selena Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
920 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 43230 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.

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 Selena Wilson's NPI number?

The NPI number for Selena Wilson is 1124715503. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Selena Wilson located?

Selena Wilson practices at 6460 Skimmer Ln, Columbus, OH 43230. The listed phone number is (614) 809-0723.

What is Selena Wilson's specialty?

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

Is Selena Wilson enrolled in Medicare?

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

Which organization bills Medicare for Selena Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Selena Wilson reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Selena Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Selena Wilson accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Selena 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 Selena Wilson was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.